# EASTSIDE WOMEN'S HEALTH & LACTATION, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063830586
- **Authorized official:** MRS. KRISTINA CHAMBERLAIN CNM, ARNP (OWNER)
- **Authorized official phone:** (425) 814-2045

## Contact information

- **Practice address:** 13128 TOTEM LAKE BLVD NE, SUITE104, KIRKLAND, WA 98034-2953
- **Practice address phone:** (425) 814-2045
- **Practice address fax:** (425) 814-2783
- **Mailing address:** 13128 TOTEM LAKE BLVD NE, SUITE104, KIRKLAND, WA 98034-2953
- **Mailing address phone:** (425) 814-2045
- **Mailing address fax:** (425) 814-2783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | BUS19862 | WA | Yes |

## Other

- **Enumeration date:** 04/01/2014
- **Last updated:** 04/01/2014
