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FAWNDOVE O BRUBAKER LMT
NPI 1659326304
Specialist in Vancouver, WA

Active since May 23, 2006
12514 SE 7TH ST APT B24, VANCOUVER, WA 98683(503) 490-4149 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fawndove O Brubaker Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAWNDOVE O BRUBAKER LMT (NPI 1659326304) is an individual specialist in Vancouver, Washington, licensed in Washington (MA60242466) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1659326304
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameFAWNDOVE O BRUBAKERCredential: LMT
Location Address12514 SE 7TH ST APT B24Vancouver, WA 98683-4075
Mailing Address19206 Se 1st St, Ste 118Camas, WA 98607-7478 · (503) 490-4149
Phone(503) 490-4149
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1659326304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MA60242466
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedMassage TherapistTaxonomy 225700000X · License 10892 (OR)
12514 SE 7TH ST APT B24, Vancouver, WA 98683
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fawndove Brubaker's NPI number?

The NPI number for Fawndove Brubaker is 1659326304. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Fawndove Brubaker located?

Fawndove Brubaker practices at 12514 SE 7th St Apt B24, Vancouver, WA 98683. The listed phone number is (503) 490-4149.

What is Fawndove Brubaker's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fawndove Brubaker was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.