Healthcare Provider Details

I. General information

NPI: 1922252659
Provider Name (Legal Business Name): DAVID L CAIRNS LMP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2008
Last Update Date: 11/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20800 NE 182ND AVE
BATTLE GROUND WA
98604-3604
US

IV. Provider business mailing address

20800 NE 182ND AVE
BATTLE GROUND WA
98604-3604
US

V. Phone/Fax

Practice location:
  • Phone: 360-666-4555
  • Fax:
Mailing address:
  • Phone: 360-666-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberMA00025190
License Number State
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: