Provider Demographics
NPI:1033841135
Name:RICE, CHELSEA TERE' (LM, CPM)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:TERE'
Last Name:RICE
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13875 CREEK VIEW DR SW
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98367-7136
Mailing Address - Country:US
Mailing Address - Phone:425-420-0768
Mailing Address - Fax:
Practice Address - Street 1:13875 CREEK VIEW DR SW
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98367-7136
Practice Address - Country:US
Practice Address - Phone:425-420-0768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61310606176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife