| NPI | 1619415437 |
|---|---|
| Doing Business As | MIDWIFERY BIRTH CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN KELLY Chief Executive Officer 503-601-3615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |