Healthcare Provider Details

I. General information

NPI: 1740631704
Provider Name (Legal Business Name): KATRINA ALINE EINANDER LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAIDE ALINE EINANDER LM

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2619 CHERRY ST
HOQUIAM WA
98550-2909
US

IV. Provider business mailing address

PO BOX 154
ABERDEEN WA
98520-0041
US

V. Phone/Fax

Practice location:
  • Phone: 206-778-2347
  • Fax: 844-675-9487
Mailing address:
  • Phone: 206-778-2347
  • Fax: 844-675-9487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW60650176
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: