Individual
MS. LAUREL SYLVAN TIPHARETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, LICSW, RN, ARNP
Contact information
Practice address
416 NW 2ND ST, GOLDENDALE, WA 98620-9516
(509) 322-6254
(509) 426-7786
Mailing address
416 NW 2ND ST, GOLDENDALE, WA 98620-9516
(509) 322-6254
(509) 426-7786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW60013576
WA
176B00000X
Midwife
MW00000178
WA
367A00000X
Advanced Practice Midwife
Primary
AP61472750
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14274779575
GROUP NPI
—
01
—
2276932
HCA
WA
Enumeration date
01/27/2007
Last updated
09/05/2025
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