Healthcare Provider Details

I. General information

NPI: 1760159321
Provider Name (Legal Business Name): NORTH SOUND MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 KALA SQUARE PL STE 2
PORT TOWNSEND WA
98368-9810
US

IV. Provider business mailing address

870 MARTIN RD
PORT TOWNSEND WA
98368-9379
US

V. Phone/Fax

Practice location:
  • Phone: 360-316-9100
  • Fax: 360-938-8777
Mailing address:
  • Phone: 360-316-9100
  • Fax: 360-938-8777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RACHEL MEREDITH MILHOLLAND
Title or Position: MIDWIFE
Credential: LM, CPM
Phone: 360-316-9100