Organization
HIGHLAND MIDWIFE BIRTH SERVICES LLC
Active
Organization
HIGHLAND MIDWIFE BIRTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRI CARR LM, CPM, LDM (OWNER)
(509) 250-2072
Entity
Organization
Contact information
Practice address
114 W MAIN ST, GOLDENDALE, WA 98620-9589
(509) 250-2072
Mailing address
PO BOX 800, GOLDENDALE, WA 98620-0800
(509) 250-2072
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW00000320
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002892
—
WA
05
—
500650062
—
OR
Enumeration date
08/17/2015
Last updated
08/17/2015
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