Provider Demographics
NPI:1871271379
Name:FLATH, SOPHIA (BIRTH DOULA)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:
Last Name:FLATH
Suffix:
Gender:
Credentials:BIRTH DOULA
Other - Prefix:
Other - First Name:SOPHIA
Other - Middle Name:
Other - Last Name:BENNETT-LEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:503 NW 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604
Mailing Address - Country:US
Mailing Address - Phone:360-909-2592
Mailing Address - Fax:
Practice Address - Street 1:503 NW 29TH AVE
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604
Practice Address - Country:US
Practice Address - Phone:360-909-2592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X
OR500847272374J00000X
WABD61639849374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula