Provider Demographics
NPI:1265677710
Name:KASHUBA, BARBARA LYNN
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:KASHUBA
Suffix:
Gender:F
Credentials:
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 993
Mailing Address - Street 2:
Mailing Address - City:STANFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97875-0993
Mailing Address - Country:US
Mailing Address - Phone:541-667-9148
Mailing Address - Fax:541-667-9592
Practice Address - Street 1:550 E. COE AVE.
Practice Address - Street 2:
Practice Address - City:STANFIELD
Practice Address - State:OR
Practice Address - Zip Code:97875
Practice Address - Country:US
Practice Address - Phone:541-667-9148
Practice Address - Fax:541-667-9592
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath