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Organization

PACIFIC MIDWIFERY SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA YVONNE TENOID (OFFICE COORDINATOR)
(360) 397-4227
Entity
Organization

Contact information

Practice address
2101 NE 139TH ST, SUITE 255, VANCOUVER, WA 98686
(360) 885-7926
(360) 397-4229
Mailing address
2101 NE 139TH ST, SUITE 255, VANCOUVER, WA 98686
(360) 885-7926
(360) 397-4229

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AP30003236
WA
176B00000X
Midwife
AP30007646
WA
176B00000X
Midwife
AP30007791
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9629148
WA
Enumeration date
04/09/2008
Last updated
04/09/2008
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