Provider Demographics
NPI:1922660349
Name:BIBB, ROBYN (DOULA)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:BIBB
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 FALK RD APT 126
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-5682
Mailing Address - Country:US
Mailing Address - Phone:503-278-2651
Mailing Address - Fax:
Practice Address - Street 1:3100 FALK RD APT 126
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-5682
Practice Address - Country:US
Practice Address - Phone:503-278-2651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-05
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
OR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR374J00000XOtherDOULA