Individual
IRA KANTROWITZ-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM
Contact information
Practice address
315 MARTIN L KING JR WAY, TACOMA, WA 98405-4234
(253) 459-8231
(253) 459-7863
Mailing address
315 MARTIN L KING JR WAY, TACOMA, WA 98405-4234
(253) 459-8231
(253) 459-7863
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
AP30005021
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP30005021
WA
367A00000X
Advanced Practice Midwife
Primary
AP30005021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9624545
—
WA
Enumeration date
10/02/2006
Last updated
08/08/2016
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