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Contact Information

IRA KANTROWITZ GORDON, CNM
315 MARTIN L KING JR WAY
TACOMA, WA98405-4234
 Phone: 253-459-8231
 Fax: 253-459-7863
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for IRA KANTROWITZ GORDON · (Male)

NPI # 1932292695
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 10/02/2006
Last updated 08/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP30005021
  • WA Medicaid 9624545
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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