Provider Demographics
NPI:1952653743
Name:GARWOOD, VICTORIA PATRICIA (LICENSED MIDWIFE)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:PATRICIA
Last Name:GARWOOD
Suffix:
Gender:F
Credentials:LICENSED MIDWIFE
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:PATRICIA
Other - Last Name:STICKELMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSED MIDWIFE
Mailing Address - Street 1:127 E EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207
Mailing Address - Country:US
Mailing Address - Phone:509-326-4366
Mailing Address - Fax:509-328-9266
Practice Address - Street 1:127 E EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207
Practice Address - Country:US
Practice Address - Phone:509-326-4366
Practice Address - Fax:509-328-9266
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW60294816176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2023756Medicaid