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NPI Code Detail

MEDICARE: ROSEMARY IRENE PIPER PHD

MEDICARE: ROSEMARY IRENE PIPER PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist558AK
2103TC0700XClinical PsychologistPY60550073WA

General Provider Information

NPI Number : 1265565964
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY IRENE PIPER PHD
Provider Business Mailing Address
First Line : 9340 NE 76TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-3721
Country : US
Telephone Number : 360-253-4912
Fax Number :
Provider Business Practice Location Address
First Line : 9340 NE 76TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-3721
Country : US
Telephone Number : 360-253-4912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 02/05/2016

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Directions to “ ROSEMARY IRENE PIPER PHD” Practice Location

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