| NPI | 1396496675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MASSEY Director 541-510-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 163WM0102X Registered Nurse, Maternal Newborn | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |