Lisa Jo Wabinga, MA60534603

Community Health Worker · Kent, WA

Individual Active NPI

NPI number 1316337546

Practice location

23639 126TH Ave SE
Kent, WA 98031-3701
Phone
(253) 631-3101

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NPI record

NPI
1316337546
Entity type
Individual (Type 1)
Enumeration date
January 26, 2015
Last updated
January 26, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community Health Worker Primary 172V00000X MA60534603 WA

Mailing address

22907 130TH Pl SE
Kent, WA 98031-3729
Phone
(253) 355-0337

About Lisa Wabinga

Lisa Jo Wabinga, MA60534603 is a healthcare provider registered in the NPI registry with the primary taxonomy Community Health Worker (code 172V00000X). The practice location is 23639 126TH Ave SE, Kent, WA 98031-3701. The NPI number 1316337546 was assigned on January 26, 2015 and the record was last updated on January 26, 2015.

Lisa Wabinga lists a license in the registry: #MA60534603 (WA) for Community Health Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa Jo Wabinga, MA60534603?

The NPI number is 1316337546.

What is the phone number of Lisa Wabinga?

The phone number listed for the practice location is (253) 631-3101.

Where is Lisa Wabinga located?

23639 126TH Ave SE, Kent, WA 98031-3701.

What is the taxonomy code for Lisa Wabinga?

The primary taxonomy code is 172V00000X – Community Health Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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