Healthcare Provider Details

I. General information

NPI: 1497538045
Provider Name (Legal Business Name): RODNEY CHRIS PERKINS PHD, MPH, APRN, CNM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12180 PARK AVE S
TACOMA WA
98447-0014
US

IV. Provider business mailing address

601 S SHIRLEY ST UNIT K305
TACOMA WA
98465-2519
US

V. Phone/Fax

Practice location:
  • Phone: 202-257-6159
  • Fax:
Mailing address:
  • Phone: 202-257-6159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number931
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: