Healthcare Provider Details

I. General information

NPI: 1306454434
Provider Name (Legal Business Name): RIVER CITY MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2020
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13214 E MALLON CT
SPOKANE VALLEY WA
99216-1015
US

IV. Provider business mailing address

13214 E MALLON CT
SPOKANE VALLEY WA
99216-1015
US

V. Phone/Fax

Practice location:
  • Phone: 509-850-0527
  • Fax: 509-505-6277
Mailing address:
  • Phone: 509-850-0527
  • Fax: 509-505-6277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: BRIANA HUISMAN
Title or Position: LICENSED MIDWIFE
Credential: LM, CPM
Phone: 509-850-0527