Healthcare Provider Details

I. General information

NPI: 1013304047
Provider Name (Legal Business Name): EMILY COATES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 12/11/2021
Certification Date: 12/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 S CUSHMAN AVE
TACOMA WA
98405-3625
US

IV. Provider business mailing address

706 S CUSHMAN AVE
TACOMA WA
98405-3625
US

V. Phone/Fax

Practice location:
  • Phone: 253-678-4057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW61229551
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: