Healthcare Provider Details

I. General information

NPI: 1447896436
Provider Name (Legal Business Name): QUINTESSENTIAL BIRTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218A STUB RD
ONALASKA WA
98570-9627
US

IV. Provider business mailing address

218A STUB RD
ONALASKA WA
98570-9627
US

V. Phone/Fax

Practice location:
  • Phone: 360-623-0433
  • Fax:
Mailing address:
  • Phone: 360-623-0433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAN CHRISTINE ARROWSMITH
Title or Position: MIDWIFE
Credential: LM
Phone: 360-623-1035