Provider Demographics
NPI:1447896436
Name:QUINTESSENTIAL BIRTH SERVICES
Entity type:Organization
Organization Name:QUINTESSENTIAL BIRTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:ARROWSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:360-623-1035
Mailing Address - Street 1:218A STUB RD
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WA
Mailing Address - Zip Code:98570-9627
Mailing Address - Country:US
Mailing Address - Phone:360-623-0433
Mailing Address - Fax:
Practice Address - Street 1:218A STUB RD
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WA
Practice Address - Zip Code:98570-9627
Practice Address - Country:US
Practice Address - Phone:360-623-0433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty