Provider Demographics
NPI:1376297796
Name:HARBOR COMMUNITY BIRTH PLLC
Entity Type:Organization
Organization Name:HARBOR COMMUNITY BIRTH PLLC
Other - Org Name:SPRING TIDE MIDWIFERY AND FAMILY HEALTH PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:ALINE
Authorized Official - Last Name:EINANDER
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:206-778-2347
Mailing Address - Street 1:PO BOX 154
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-0041
Mailing Address - Country:US
Mailing Address - Phone:206-778-2347
Mailing Address - Fax:844-675-9487
Practice Address - Street 1:2829 SIMPSON AVE
Practice Address - Street 2:
Practice Address - City:HOQUIAM
Practice Address - State:WA
Practice Address - Zip Code:98550-3020
Practice Address - Country:US
Practice Address - Phone:206-778-2347
Practice Address - Fax:844-675-9487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty