Provider Demographics
NPI:1396289773
Name:CURRY, ROBIN LEE (LMP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LEE
Last Name:CURRY
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 1:3205 NE 179TH ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-7940
Mailing Address - Country:US
Mailing Address - Phone:971-222-8532
Mailing Address - Fax:
Practice Address - Street 1:120 NE 136TH AVE
Practice Address - Street 2:205
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6949
Practice Address - Country:US
Practice Address - Phone:360-597-3511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60277666225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist