Provider Demographics
NPI:1427492123
Name:LITTLE MOUNTAIN MIDWIFERY
Entity type:Organization
Organization Name:LITTLE MOUNTAIN MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:BROWNE
Authorized Official - Last Name:SCHUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:206-618-8574
Mailing Address - Street 1:4125 ASHWORTH AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8147
Mailing Address - Country:US
Mailing Address - Phone:206-618-8574
Mailing Address - Fax:206-397-4473
Practice Address - Street 1:4125 ASHWORTH AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8147
Practice Address - Country:US
Practice Address - Phone:206-618-8574
Practice Address - Fax:206-397-4473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW60026404176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty