Jacob Robert Lynn Brubaker, C.P.O.

NPI #1275880015 in Bonney Lake, Washington

Provider Information

NPI Number: 1275880015
Entity Type: Individual
Name: Jacob Robert Lynn Brubaker, C.P.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: C.P.O.
Enumeration Date: Aug 10, 2012
Last Updated: Dec 2, 2019

Practice Location

Address: 17927 131ST ST E
City: Bonney Lake
State: Washington
ZIP Code: 98391-7686
Phone: (206) 790-3890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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Organizations

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