Provider Demographics
NPI:1891881629
Name:PALAGI, TRACI JEAN (LM, CPM)
Entity Type:Individual
Prefix:
First Name:TRACI
Middle Name:JEAN
Last Name:PALAGI
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 1:3830 S FERDINAND ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1738
Mailing Address - Country:US
Mailing Address - Phone:206-722-3426
Mailing Address - Fax:206-722-3459
Practice Address - Street 1:3830 S FERDINAND ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1738
Practice Address - Country:US
Practice Address - Phone:206-722-3426
Practice Address - Fax:206-722-3459
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW00000276176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife