Provider Demographics
NPI:1558376228
Name:CABEBE, PIPER E (LMP)
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:E
Last Name:CABEBE
Suffix:
Gender:F
Credentials:LMP
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 820466
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-0010
Mailing Address - Country:US
Mailing Address - Phone:360-574-3668
Mailing Address - Fax:
Practice Address - Street 1:1412 NE 134TH ST
Practice Address - Street 2:SUITE 260
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2719
Practice Address - Country:US
Practice Address - Phone:360-574-3668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00019158225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0182356OtherDEPT OF LABOR AND INDUSTR
WA335879OtherPROVIDENCE PREFERRED
WA6062898000OtherUS DOL
WA1051751OtherAMERICAN SPECIALTY HEALTH