NPI | 1285990267 |
---|---|
Entity Type | Organization |
Authorized Contact | AUGUSTINE COLEBROOK Owner/Director/Midwife 541-772-2291 |
Organization Subpart ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: OR LDM10119128) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200750100NP) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2012-04-04 |