Organization
CENTER FOR BIRTH, LLC
Active
Other names
Center for Birth
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA TSIAKALIS LM, CPM (MANAGER, DIRECTOR)
(206) 369-5315
Entity
Organization
Contact information
Practice address
1500 EASTLAKE AVE E, 1500 EASTLAKE AVE E, SEATTLE, WA 98102-3707
(206) 407-3397
(206) 407-3775
Mailing address
1500 EASTLAKE AVE E, 1500 EASTLAKE AVE E, SEATTLE, WA 98102-3707
(206) 407-3397
(206) 407-3775
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
CBC FS 60203814
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006375
—
WA
Enumeration date
02/15/2011
Last updated
02/15/2011
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