Individual
SAM URSA BEACH HAWTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDM, LM
Contact information
Practice address
3205 NE 78TH ST STE 101, VANCOUVER, WA 98665-0697
(503) 395-4736
Mailing address
3205 NE 78TH ST STE 101, VANCOUVER, WA 98665-0697
(503) 395-4736
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
12936
OR
176B00000X
Midwife
Primary
DEM-LD-10160095
OR
176B00000X
Midwife
MW60477681
WA
Other
Enumeration date
10/02/2008
Last updated
02/16/2026
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