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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