Individual
LORI WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1672
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
201601311NP-PP
OR
367A00000X
Advanced Practice Midwife
Primary
AP60691183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070701
—
WA
Enumeration date
02/25/2016
Last updated
07/21/2022
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