Healthcare Provider Details

I. General information

NPI: 1548189384
Provider Name (Legal Business Name): MICHELE ELIZA KOH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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 StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: