Organization
MOONRISE WELLNESS & BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY ROSS ND, LM (PRESIDENT)
(206) 930-6027
Entity
Organization
Contact information
Practice address
5720 220TH ST SW STE A, MOUNTLAKE TERRACE, WA 98043-3137
(206) 930-6027
Mailing address
5720 220TH ST SW STE A, MOUNTLAKE TERRACE, WA 98043-3137
(206) 930-6027
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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