Organization
NORTHSHORE MIDWIVES & LACTATION CONSULTING, LLC
Active
Organization
NORTHSHORE MIDWIVES & LACTATION CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA HENDERSON (OWNER, LM, CPM, IBCLC)
(425) 286-0466
Entity
Organization
Contact information
Practice address
18208 66TH AVE NE STE 200, KENMORE, WA 98028-7949
(425) 286-0466
(425) 341-9661
Mailing address
PO BOX 2045, BOTHELL, WA 98041-2045
(425) 286-0466
(425) 341-9661
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8495921
—
WA
Enumeration date
07/10/2019
Last updated
07/10/2019
Update your record
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