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General NPI Number Information
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NPI Number | 1720122377
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Entity Type | Individual
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Provider Name | MICHELLE ANN CRIPPEN LMP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 19206 SE 1ST ST STE A201
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City | CAMAS
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State | WA
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Zip | 98607-7478
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Country | US
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Telephone | 360-433-9016
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 NE 162ND PL
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City | VANCOUVER
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State | WA
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Zip | 98684-9460
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Country | US
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Telephone | 360-931-1390
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00010401
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00010401
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License Number State | WA
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