Healthcare Provider Details

I. General information

NPI: 1285553024
Provider Name (Legal Business Name): FRESH FRUIT DOULA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4527 RAINIER AVE S APT 403S
SEATTLE WA
98118-1649
US

IV. Provider business mailing address

4527 RAINIER AVE S APT 403S
SEATTLE WA
98118-1649
US

V. Phone/Fax

Practice location:
  • Phone: 206-229-5184
  • Fax:
Mailing address:
  • Phone: 206-229-5184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MICHELE KOH
Title or Position: OWNER
Credential:
Phone: 206-229-5184