Healthcare Provider Details

I. General information

NPI: 1447154901
Provider Name (Legal Business Name): OBALVANNA CHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VANNA CHI

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 BENT TREE LN
PACIFIC WA
98047-1398
US

IV. Provider business mailing address

116 BENT TREE LN
PACIFIC WA
98047-1398
US

V. Phone/Fax

Practice location:
  • Phone: 253-388-0648
  • Fax:
Mailing address:
  • Phone: 253-388-0648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberBDC.BD.70183377
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: