Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | MW263 | WA |
NPI | 1073657292 |
---|---|
Provider Name | Christine B. Gibbs |
First Address | Bellingham, WA 98225-3415 |
Second Address | Bellingham, WA 98225-3415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8396871 | (05) | WA |