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Individual

MS. EMILY JOY TYDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPM

Contact information

Practice address
1200 116TH AVE NE STE C, BELLEVUE, WA 98004-3802
(425) 451-0404
Mailing address
1813 ROCKEFELLER AVE, EVERETT, WA 98201-2247
(360) 447-8214
(360) 215-3766

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
MW61006253
WA
176B00000X
Midwife
Primary
MW61006253
WA
176B00000X
Midwife
225700000X
Massage Therapist
14913
OR
225700000X
Massage Therapist
367A00000X
Advanced Practice Midwife
374J00000X
Doula

Other

Enumeration date
05/19/2010
Last updated
01/26/2023
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