Provider Demographics
NPI:1629494679
Name:BIRTHJOY MIDWIFERY LLC
Entity Type:Organization
Organization Name:BIRTHJOY MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAMPBELLL
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:425-677-7730
Mailing Address - Street 1:10016 RENTON ISSAQUAH RD SE
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5445
Mailing Address - Country:US
Mailing Address - Phone:425-677-7730
Mailing Address - Fax:425-961-0906
Practice Address - Street 1:10016 RENTON ISSAQUAH RD SE
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5445
Practice Address - Country:US
Practice Address - Phone:425-677-7730
Practice Address - Fax:425-961-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW60104546176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty