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NPI 1871426189

NPI 1871426189 : EVERETT BIRTH CENTER : EVERETT, WA

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General NPI Number Information
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    NPI Number           |    1871426189
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVERETT BIRTH CENTER 
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Dates
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    Enumeration Date     |    06/05/2026
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    Last Update Date     |    06/05/2026
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Provider Practice Location Address
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    Address Line         |    2808 COLBY AVE STE A 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98201-3563
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    Country              |    US
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    Telephone            |    360-453-7872
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    Fax                  |    866-317-7688
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Provider Business Mailing Address
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    Address Line         |    2808 COLBY AVE STE A 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98201-3563
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    Country              |    US
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    Telephone            |    360-453-7872
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    Fax                  |    866-317-7688
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SIRI  LARSON IVERSON 
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    Credential           |    LM, CPM
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    Telephone            |    360-453-7872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QB0400X
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    Taxonomy Name        |    Birthing Clinic/Center
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    License Number       |    
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    License Number State |    
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