Organization
LYNDEN BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CATHERINE BURGESS LM, CPM, MA (OWNER/MIDWIFE)
(360) 510-0188
Entity
Organization
Contact information
Practice address
200 3RD ST, LYNDEN, WA 98264-1411
(360) 510-0188
(844) 411-7474
Mailing address
200 3RD ST, LYNDEN, WA 98264-1411
(360) 510-0188
(844) 411-7474
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2109294
—
WA
Enumeration date
02/18/2022
Last updated
02/18/2022
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