Provider Demographics
NPI:1669246906
Name:RASMUSSEN, HANNAH (CPM)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-3547
Mailing Address - Country:US
Mailing Address - Phone:208-960-5619
Mailing Address - Fax:206-430-6227
Practice Address - Street 1:1108 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-3547
Practice Address - Country:US
Practice Address - Phone:208-960-5619
Practice Address - Fax:206-430-6227
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CPM23090321176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife