Provider Demographics
NPI:1457537748
Name:TREIBEL, TERRY ARLENE (LMP)
Entity Type:Individual
Prefix:MS
First Name:TERRY
Middle Name:ARLENE
Last Name:TREIBEL
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 1571
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98291-1571
Mailing Address - Country:US
Mailing Address - Phone:425-931-9505
Mailing Address - Fax:
Practice Address - Street 1:127 AVENUE C
Practice Address - Street 2:SUITE A
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2768
Practice Address - Country:US
Practice Address - Phone:360-568-4185
Practice Address - Fax:360-568-2377
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA# MA7975174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist