Individual
KATHRYN WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
5629 S FIFE ST, TACOMA, WA 98409-6231
(541) 415-5581
Mailing address
5629 S FIFE ST, TACOMA, WA 98409-6231
(541) 415-5581
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MIDW.MW.60786303
WA
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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