Provider Demographics
NPI:1255825063
Name:VARBLE, ROBERTA ANNE (LIFESTYLE COACH)
Entity Type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:ANNE
Last Name:VARBLE
Suffix:
Gender:F
Credentials:LIFESTYLE COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3275
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-0011
Mailing Address - Country:US
Mailing Address - Phone:541-423-1384
Mailing Address - Fax:541-664-7927
Practice Address - Street 1:155 N 1ST ST
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-2011
Practice Address - Country:US
Practice Address - Phone:541-423-1384
Practice Address - Fax:541-664-7927
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator