# WISE WOMEN CARE ASSOCIATES

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

## Provider details

- **NPI number:** 1659629137
- **Authorized official:** MRS. AUGUSTINE COLEBROOK CPM, LM (MIDWIFE)
- **Authorized official phone:** (541) 772-2291

## Contact information

- **Practice address:** 400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
- **Practice address phone:** (541) 772-2291
- **Practice address fax:** (541) 245-0417
- **Mailing address:** 400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
- **Mailing address phone:** (541) 772-2291
- **Mailing address fax:** (541) 245-0417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175M00000X | Lay Midwife | — | NULL | Yes |
| 175M00000X | Lay Midwife | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 08/15/2012