# EDEN MIDWIFERY & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396496675
- **Authorized official:** CRYSTAL MASSEY CNM (DIRECTOR)
- **Authorized official phone:** (541) 510-5155

## Contact information

- **Practice address:** 890 BELTLINE RD, SPRINGFIELD, OR 97477-1091
- **Practice address phone:** (541) 515-6556
- **Mailing address:** 890 BELTLINE RD, SPRINGFIELD, OR 97477-1091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 163WM0102X | Maternal Newborn Registered Nurse | — | NULL | — |
| 163WM0102X | Maternal Newborn Registered Nurse | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2022
- **Last updated:** 01/18/2022