Healthcare Provider Details

I. General information

NPI: 1467376921
Provider Name (Legal Business Name): RECALIBRATE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 BLACKLEDGE RD
CARSON WA
98610-3157
US

IV. Provider business mailing address

411 BLACKLEDGE RD
CARSON WA
98610-3157
US

V. Phone/Fax

Practice location:
  • Phone: 971-717-5670
  • Fax:
Mailing address:
  • Phone: 971-717-5670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: KAILIA WRAY
Title or Position: MANAGING MEMBER
Credential: CNM
Phone: 971-717-5670