Organization
BLUE MOUNTAIN MIDWIFERY & WOMEN'S HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN JANE AUSTIN CNM ARNP (OWNER)
(509) 386-6985
Entity
Organization
Contact information
Practice address
120 E BIRCH ST STE 7, WALLA WALLA, WA 99362-3054
(509) 386-6985
(509) 876-4623
Mailing address
120 E BIRCH ST STE 7, WALLA WALLA, WA 99362-3054
(509) 386-6985
(509) 876-4623
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP 60039710
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96593431093103
—
WA
Enumeration date
01/04/2013
Last updated
02/01/2013
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