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General NPI Number Information
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NPI Number | 1013483791
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Entity Type | Organization
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Legal Business Name | MOONRISE HEALTH AND BIRTH, INC
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 4803 219TH ST SW
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043
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Country | US
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Telephone | 425-670-6752
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Fax | 888-691-3151
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Provider Business Mailing Address
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Address Line | 20126 BALLINGER WAY NE # 141
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City | SHORELINE
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State | WA
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Zip | 98155-1117
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Country | US
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Telephone | 425-670-6752
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Fax | 888-691-3151
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Authorized Official
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Title or Position | OWNER
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Name | BRANDY ROSS
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Credential | ND, LM
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Telephone | 206-930-6027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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