Full-Scope Midwifery Care

Preconception & Fertility


Sexual Health Screenings

Pregnancy, Birth, Postpartum & Lactation

Annual & Preventive Care

Gender Wellness


Preconception & Fertility

Planning on growing a family? Curious about the many pathways to parenthood? Schedule a preconception visit to discuss your options and plan out what works best for you in a supportive environment. 

Prenatal and birth care for healthy, low-risk people at Off the Grid Midwifery's office in Tacoma. Currently catching babies at The Birthing Inn, Tacoma's only freestanding birth center, and St. Joe's.

No matter how your baby is born or with whom, I can provide postpartum home visits and lactation support. Feeding support for individuals who are lactating, nursing, breastfeeding, chestfeeding, pumping, feeding with SNS, inducing lactation, bottle-feeding, or otherwise have baby feeding questions or support needs for their growing family.


There are many options for preventing pregnancy. Schedule an appointment to discuss your options, compare your top choices, and find what works best for you and the flow of your life.

Sexual Health

Health screenings including sexually transmitted infections, pap smears, breast/chest health surveillance, evaluation of sexual pain, abnormal bleeding, or other sexual health concerns.

Gender Wellness

Focused on each person's individual needs with a shared goal of gender euphoria. Including primary care, gynecologic/bottom health needs, pre- and post-operative visits, labs and medications, and an informed consent approach to hormone therapies in clinic or personalized homecare visits increasing accessibility of LGBTQIA+ competent care.

What clients are saying about care with Cedar "CE" Durfee, CNM, ARNP, CLC

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I can’t thank you enough for all your help and guidance through this whole process, you are wonderful!! I felt so prepared for the childbirth process, had so many positions to try to see what was most comfortable, and knew how to advocate for myself during it all. Thank you for everything!!!

Distance-based support services via the MavenClinic app, private video conference, and telehealth. Sliding scale pay-what-you-can rates apply for all services.

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Sparkwell is an anti-racist, LGBTQ+ friendly, gender-affirming, body-positive, full-spectrum practice; please do not hesitate to tell us how we can best support your growing family and assist you in advocating for your needs. Sparkwell is located on unceded Duwamish lands and as such, pays Real Rent to the Duwamish tribe.

Your family and your privacy come first. Sparkwell values and maintains client confidentiality at all times.

Concierge RN and CNM services available, please contact to discuss your needs.

In-Network with Aetna, Cigna, CPHW, First Choice Health Network, Premera,
Molina, Regence BCBS of WA, and Tricare Select.
Also accepting Kaiser (non-core plans) Access PPO & Options Federal under First Choice Health Network.