# STORK MIDWIFERY

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

## Provider details

- **NPI number:** 1093351850
- **Authorized official:** ELLENA KARPENKO LM, CPM, MSM (MIDWIFE)
- **Authorized official phone:** (425) 350-1654

## Contact information

- **Practice address:** 1523 10TH ST, MARYSVILLE, WA 98270-4663
- **Practice address phone:** (425) 350-1654
- **Mailing address:** 10720 130TH AVE NE, LAKE STEVENS, WA 98258-8878
- **Mailing address phone:** (425) 350-1654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2019
- **Last updated:** 11/26/2019