MEDICARE: SINDEA HORSTE CD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	602399881	WA

General Provider Information

NPI Number	:	1063853943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SINDEA HORSTE CD

Provider Business Mailing Address
First Line	:	20317 25TH PL W
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6907
Country	:	US
Telephone Number	:	425-778-6435
Fax Number	:

Provider Business Practice Location Address
First Line	:	20317 25TH PL W
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6907
Country	:	US
Telephone Number	:	425-778-6435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2013
Last Update Date	:	07/08/2013

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Directions to “ SINDEA HORSTE CD” Practice Location

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