Healthcare Provider Details

I. General information

NPI: 1871426189
Provider Name (Legal Business Name): EVERETT BIRTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 COLBY AVE STE A
EVERETT WA
98201-3563
US

IV. Provider business mailing address

2808 COLBY AVE STE A
EVERETT WA
98201-3563
US

V. Phone/Fax

Practice location:
  • Phone: 360-453-7872
  • Fax: 866-317-7688
Mailing address:
  • Phone: 360-453-7872
  • Fax: 866-317-7688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SIRI LARSON IVERSON
Title or Position: OWNER
Credential: LM, CPM
Phone: 360-453-7872