Healthcare Provider Details

I. General information

NPI: 1134785488
Provider Name (Legal Business Name): CIARALYN SCARLETT RICHARDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 07/03/2025
Certification Date: 06/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17412 VASHON HWY SW
VASHON WA
98070
US

IV. Provider business mailing address

1201 N FIFE ST
TACOMA WA
98406-7402
US

V. Phone/Fax

Practice location:
  • Phone: 206-408-8166
  • Fax:
Mailing address:
  • Phone: 253-245-6079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW61637990
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: