Healthcare Provider Details

I. General information

NPI: 1134084825
Provider Name (Legal Business Name): KALI ARCHIPLEY BD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8555 COPPER LN
SEDRO WOOLLEY WA
98284-8553
US

IV. Provider business mailing address

111 WOODWORTH ST UNIT 247
SEDRO WOOLLEY WA
98284-4021
US

V. Phone/Fax

Practice location:
  • Phone: 360-399-6811
  • Fax:
Mailing address:
  • Phone: 360-399-6811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberBDC.BD.70025617
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: