Individual
RACHAEL A LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
860 S 48TH ST, TACOMA, WA 98408-5758
(206) 941-5774
(253) 404-0801
Mailing address
860 S 48TH ST, TACOMA, WA 98408-5758
(206) 941-5774
(253) 404-0801
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
60922648
WA
176B00000X
Midwife
MW353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156269
—
WA
Enumeration date
07/12/2017
Last updated
05/18/2020
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