Healthcare Provider Details

I. General information

NPI: 1912811001
Provider Name (Legal Business Name): PAULINA JOAO VEMBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7324 MARTIN LUTHER KING JR WAY S
SEATTLE WA
98118-3773
US

IV. Provider business mailing address

7324 MARTIN LUTHER KING JR WAY S
SEATTLE WA
98118-3773
US

V. Phone/Fax

Practice location:
  • Phone: 436-628-0773
  • Fax:
Mailing address:
  • Phone: 436-628-0773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: