Individual
SUSAN BLAKE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1500 EASTLAKE AVE E, SEATTLE, WA 98102-3707
(206) 861-8300
(206) 861-8305
Mailing address
8221 22ND AVE NE, SEATTLE, WA 98115-4513
(206) 712-9095
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW61216245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW61216245
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/30/2021
Last updated
11/30/2021
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