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Organization

THE BIRTH COTTAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERAH LARA (OWNER)
(206) 227-2211
Entity
Organization

Contact information

Practice address
1108 WASHINGTON AVE, ENUMCLAW, WA 98022-3547
(206) 227-2211
Mailing address
1108 WASHINGTON AVE, ENUMCLAW, WA 98022-3547
(206) 227-2211

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary

Other

Enumeration date
10/15/2019
Last updated
10/15/2019
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