NPI 1073764536

Sam Ursa Beach Hawthorn, LDMLM

Practitioner Midwife Vancouver, WA

Practice location

Address: 3205 NE 78th St STE 101, Vancouver, WA 98665-0697
Phone: (503) 395-4736

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence DEM-LD-10160095 (OR)

Other Midwife providers in Washington →

Midwife

Other Service Providers Taxonomy 176B00000X Licence MW60477681 (WA)

Registry record

NPI: 1073764536
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2008
Record last updated: 16 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.