Individual
GABRIELLE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
170 CRISPIN ST, ASHLAND, OR 97520-1297
(541) 841-2860
Mailing address
170 CRISPIN ST, ASHLAND, OR 97520-1297
(541) 841-2860
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
10193078
OR
Other
Enumeration date
10/28/2018
Last updated
10/28/2018
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