Healthcare Provider Details

I. General information

NPI: 1245899905
Provider Name (Legal Business Name): LISA EECKHOUDT CPD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7747 10TH AVE NW
SEATTLE WA
98117-4112
US

IV. Provider business mailing address

7747 10TH AVE NW
SEATTLE WA
98117-4112
US

V. Phone/Fax

Practice location:
  • Phone: 206-949-2377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: