Provider Demographics
NPI:1497007983
Name:NIPPER, MATTHEW EARNEST (MS, RCEP)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:EARNEST
Last Name:NIPPER
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Gender:M
Credentials:MS, RCEP
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Mailing Address - Street 1:200 NE MOTHER JOSEPH PL
Mailing Address - Street 2:PHYSICIANS PAVILION, STE 400
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-3299
Mailing Address - Country:US
Mailing Address - Phone:360-514-6398
Mailing Address - Fax:
Practice Address - Street 1:200 NE MOTHER JOSEPH PL
Practice Address - Street 2:PHYSICIANS PAVILION, STE 400
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-3299
Practice Address - Country:US
Practice Address - Phone:360-514-6398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist