Healthcare Provider Details

I. General information

NPI: 1508287525
Provider Name (Legal Business Name): EMILY AGER L.M., C.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 09/11/2025
Certification Date: 12/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 6TH AVE STE C
TACOMA WA
98406-4034
US

IV. Provider business mailing address

2308 S HOSMER ST
TACOMA WA
98405-3149
US

V. Phone/Fax

Practice location:
  • Phone: 253-780-1700
  • Fax:
Mailing address:
  • Phone: 760-822-4203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW60703963
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: