Provider Demographics
NPI:1629677000
Name:VALENTINE, TRACY LYNNETTE (DOULA)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:LYNNETTE
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5717 NE 135TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-5974
Mailing Address - Country:US
Mailing Address - Phone:360-433-1266
Mailing Address - Fax:
Practice Address - Street 1:5717 NE 135TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-5974
Practice Address - Country:US
Practice Address - Phone:360-433-1266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-18
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula