Provider Demographics
NPI:1366825861
Name:BIRTH BY DESIGN MIDWIFERY, PLLC
Entity type:Organization
Organization Name:BIRTH BY DESIGN MIDWIFERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:MORRILL
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:509-998-1726
Mailing Address - Street 1:14103 W COULEE HITE RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-9356
Mailing Address - Country:US
Mailing Address - Phone:509-998-1726
Mailing Address - Fax:509-467-9829
Practice Address - Street 1:5510 N DRISCOLL BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-7624
Practice Address - Country:US
Practice Address - Phone:509-998-1726
Practice Address - Fax:509-467-9829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDMID-35261QB0400X
WAMW00000229261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2042424Medicaid