Provider Demographics
NPI:1801986906
Name:TROMBLAY, ALI HOPE (LM, CPM)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:HOPE
Last Name:TROMBLAY
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:HOPE
Other - Last Name:TOPEROSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LM, CPM
Mailing Address - Street 1:13128 TOTEM LAKE BLVD NE
Mailing Address - Street 2:#101
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034
Mailing Address - Country:US
Mailing Address - Phone:425-823-1919
Mailing Address - Fax:425-823-7037
Practice Address - Street 1:13128 TOTEM LAKE BLVD NE
Practice Address - Street 2:#101
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034
Practice Address - Country:US
Practice Address - Phone:425-823-1919
Practice Address - Fax:425-823-7037
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW00000240176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife