Provider Demographics
NPI:1033841135
Name:RICE, CHELSEA T (LM, CPM)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:T
Last Name:RICE
Suffix:
Gender:
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13875 CREEK VIEW DR SW
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98367-7136
Mailing Address - Country:US
Mailing Address - Phone:425-420-0768
Mailing Address - Fax:
Practice Address - Street 1:5302 104TH ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98446-5330
Practice Address - Country:US
Practice Address - Phone:253-200-1499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61310606176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife