Healthcare Provider Details

I. General information

NPI: 1699498717
Provider Name (Legal Business Name): THE BIRTH HOUSE BY SKY VALLEY MIDWIFERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 W YAKIMA AVE
YAKIMA WA
98902-2951
US

IV. Provider business mailing address

2302 W DOLARWAY RD STE 3
ELLENSBURG WA
98926-8081
US

V. Phone/Fax

Practice location:
  • Phone: 509-566-2020
  • Fax: 360-841-7417
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: APRIL HAUGEN
Title or Position: OWNER
Credential: LM
Phone: 509-566-2020