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Organization

EASTSIDE BIRTH CENTER, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE MARIE THAIN LM, CPM (PRESIDENT)
(425) 746-5566
Entity
Organization

Contact information

Practice address
14700 NE 8TH ST STE 115, BELLEVUE, WA 98007-4115
(425) 746-5566
(425) 644-2560
Mailing address
14700 NE 8TH ST STE 115, BELLEVUE, WA 98007-4115
(425) 746-5566
(425) 644-2560

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
CBC-022
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7097124
WA
Enumeration date
11/29/2006
Last updated
08/22/2020
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