=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497538045
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RODNEY CHRIS PERKINS PHD, MPH, APRN, CNM
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/17/2023
-----------------------------------------------------
Last Update Date | 01/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1959 NE PACIFIC ST
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98195-2989
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-257-6159
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 601 S SHIRLEY ST UNIT K305
-----------------------------------------------------
City | TACOMA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98465-2519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-257-6159
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 176B00000X
-----------------------------------------------------
Taxonomy Name | Midwife
-----------------------------------------------------
License Number | CNM10574
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------