Provider Demographics
NPI:1871863407
Name:THOMPSON, CINDRA LYNN (LM)
Entity Type:Individual
Prefix:MS
First Name:CINDRA
Middle Name:LYNN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:CINDRA
Other - Middle Name:LYNN
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LM
Mailing Address - Street 1:2116 242ND ST SW
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-9255
Mailing Address - Country:US
Mailing Address - Phone:206-200-6068
Mailing Address - Fax:425-488-1946
Practice Address - Street 1:2116 242ND ST SW
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9255
Practice Address - Country:US
Practice Address - Phone:206-200-6068
Practice Address - Fax:425-488-1946
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW00000239176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife