Individual
COELI DWIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDM, CPM
Contact information
Practice address
800 CAMBRIDGE ST, ASHLAND, OR 97520-1008
(541) 488-8324
(541) 488-8324
Mailing address
800 CAMBRIDGE ST, ASHLAND, OR 97520-1008
(541) 488-8324
(541) 488-8324
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-1002847
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269634
—
OR
Enumeration date
05/22/2007
Last updated
03/14/2008
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