IndividualActive
Melissa Mack, CNM
NPI 1124052006 · Advanced Practice Midwife · Vancouver, WA
Provider details
- NPI number
- 1124052006
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- AP30007582 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Advanced Practice Midwife367A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2525 Ne 139th St
Vancouver, WA 98686-2719
Phone: (360) 397-3870
Fax: (360) 397-3858
Street-level locationGet directions
Mailing address
700 Ne 87th Ave
Vancouver, WA 98664-1913
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.