Provider Demographics
NPI:1366649337
Name:FIGAIRE-CORREA, CHIMERE ELISA (LMP)
Entity type:Individual
Prefix:MRS
First Name:CHIMERE
Middle Name:ELISA
Last Name:FIGAIRE-CORREA
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9206 NE 163RD AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-0732
Mailing Address - Country:US
Mailing Address - Phone:360-773-0411
Mailing Address - Fax:360-838-0123
Practice Address - Street 1:2200 BROADWAY ST STE D
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3255
Practice Address - Country:US
Practice Address - Phone:360-773-0411
Practice Address - Fax:360-838-0123
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00022064171W00000X
WAMA0022064225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist