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Organization

SAGE MIDWIFERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHARINE RAWLINS LM, CPM (OWNER)
(986) 999-3911
Entity
Organization

Contact information

Practice address
135 E CALDERWOOD DR STE 100, MERIDIAN, ID 83642-7851
(986) 999-3911
(208) 600-6911
Mailing address
135 E CALDERWOOD DR STE 100, MERIDIAN, ID 83642-7851

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235855883
ID
05
1386133825
ID
05
1649937111
ID
05
1750797155
ID
Enumeration date
10/17/2022
Last updated
01/27/2025
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