Provider Demographics
NPI:1427479575
Name:GENTLE BIRTH CARE
Entity type:Organization
Organization Name:GENTLE BIRTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE-MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:SYLVAN
Authorized Official - Last Name:TIPHARETH
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, ARNP
Authorized Official - Phone:509-322-6254
Mailing Address - Street 1:477 HORSESHOE BEND RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98613-2302
Mailing Address - Country:US
Mailing Address - Phone:509-322-6254
Mailing Address - Fax:509-773-3041
Practice Address - Street 1:477 HORSESHOE BEND RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:WA
Practice Address - Zip Code:98613-2302
Practice Address - Country:US
Practice Address - Phone:509-322-6254
Practice Address - Fax:509-773-3041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1041343Medicaid
WA1041343Medicaid