MEDICARE: ALEXANDRA SENECHAL CPM, LM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife
2	176B00000X	Midwife	MW61498782	WA

General Provider Information

NPI Number	:	1669254801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA SENECHAL CPM, LM

Provider Business Mailing Address
First Line	:	30902 12TH AVENUE CT E
Second Line	:
City	:	ROY
State	:	WA
Zip	:	98580-8806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30902 12TH AVENUE CT E
Second Line	:
City	:	ROY
State	:	WA
Zip	:	98580-8806
Country	:	US
Telephone Number	:	310-619-0731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2023
Last Update Date	:	01/07/2026

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