Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sam Ursa Beach Hawthorn, LDM, LM

Individual provider Midwife · NPI 1073764536

Sam Ursa Beach Hawthorn, LDM, LM is a Midwife in Vancouver, Washington. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

3205 NE 78th St Ste 101
Vancouver, WA 98665-0697
Phone: (503) 395-4736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence DEM-LD-10160095 (OR)
Midwife Taxonomy 176B00000X · Licence MW60477681 (WA)

Record details

NPI number1073764536
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDM , LM
Sole proprietorYes
NPI enumeratedOctober 2, 2008
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

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