Provider Demographics
NPI:1598570228
Name:EPPINGA-NEFF, EAMONN
Entity type:Individual
Prefix:
First Name:EAMONN
Middle Name:
Last Name:EPPINGA-NEFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 WETMORE AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-5616
Mailing Address - Country:US
Mailing Address - Phone:509-768-0719
Mailing Address - Fax:
Practice Address - Street 1:1831 WETMORE AVE APT 204
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-5616
Practice Address - Country:US
Practice Address - Phone:509-768-0719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist