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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BLANCA V IBARRA, CDPT
1516 S 11TH ST
TACOMA, WA98405-3332
 Phone: 253-396-1634
 Fax: 253-396-1663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for BLANCA V IBARRA · (Female)

NPI Number 1003007444
Status Active
Credentials CDPT
Entity Individual
Enumeration date 08/08/2007
Last updated 01/06/2010 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # RC00039617
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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