Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fawndove O Brubaker, LMT

Individual provider Massage Therapist · NPI 1659326304

Fawndove O Brubaker, LMT is a Massage Therapist in Vancouver, Washington. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

12514 SE 7th St Apt B24
Vancouver, WA 98683-4075
Phone: (503) 490-4149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA60242466 (WA)
Massage Therapist Taxonomy 225700000X · Licence 10892 (OR)

Record details

NPI number1659326304
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESSeptember 14, 2012

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