Provider Demographics
NPI:1710210687
Name:SCHUBERT, BEVERLY BROWNE (LM,CPM)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:BROWNE
Last Name:SCHUBERT
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 1:4125 ASHWORTH AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8147
Mailing Address - Country:US
Mailing Address - Phone:206-618-8574
Mailing Address - Fax:206-397-4473
Practice Address - Street 1:4125 ASHWORTH AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8147
Practice Address - Country:US
Practice Address - Phone:206-618-8574
Practice Address - Fax:206-397-4473
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMIDW.MW60026404176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife