Individual
TARRA LYNNE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NMNP
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201050062NP
OR
367A00000X
Advanced Practice Midwife
60125680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235459041
—
WA
05
—
500634641
—
OR
Enumeration date
06/03/2010
Last updated
11/02/2018
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