Organization
SELAH MIDWIFERY
Active
Other names
Selah Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA DOUGLAS CPM, LDM (OWNER)
(541) 621-2672
Entity
Organization
Contact information
Practice address
395 W BROADWAY, EUGENE, OR 97401-2869
(541) 621-2672
(541) 982-7594
Mailing address
955 LEWIS AVE APT 1, EUGENE, OR 97402-4249
(541) 621-2672
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500787054
—
OR
Enumeration date
05/28/2024
Last updated
05/28/2024
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