Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW188 | WA |
NPI | 1144397431 |
---|---|
Provider Name | Christine Marie Thain |
First Address | Bellevue, WA 98007-4115 |
Second Address | Bellevue, WA 98007-4115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8438640 | (05) | WA |