Provider Demographics
NPI:1609993310
Name:FILIPENCO, MARGARETA ELENA (LAP)
Entity Type:Individual
Prefix:
First Name:MARGARETA
Middle Name:ELENA
Last Name:FILIPENCO
Suffix:
Gender:F
Credentials:LAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17804 OVERLAKE CT. SE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597
Mailing Address - Country:US
Mailing Address - Phone:360-894-1300
Mailing Address - Fax:
Practice Address - Street 1:109 BINGHAMPTON ST. W SUITE C
Practice Address - Street 2:
Practice Address - City:RAINIER
Practice Address - State:WA
Practice Address - Zip Code:98576
Practice Address - Country:US
Practice Address - Phone:360-446-4460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002620171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7845FIMedicare UPIN