Provider Demographics
NPI:1326766056
Name:OLIVER, ISLA SAGE (CNM)
Entity Type:Individual
Prefix:
First Name:ISLA
Middle Name:SAGE
Last Name:OLIVER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ISLA
Other - Middle Name:SAGE
Other - Last Name:COOK-BIGGERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3011 W MARINE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3940
Mailing Address - Country:US
Mailing Address - Phone:206-595-8817
Mailing Address - Fax:
Practice Address - Street 1:19505 76TH AVE W STE 200
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5045
Practice Address - Country:US
Practice Address - Phone:800-769-0045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61084888163W00000X
WA61469789367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse