Individual
MRS. LYNETTE TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM,LDM
Contact information
Practice address
2324 FREEDOM DR, HOOD RIVER, OR 97031-8671
(541) 490-3140
(541) 386-8365
Mailing address
2324 FREEDOM DR, HOOD RIVER, OR 97031-8671
(541) 490-3140
(541) 386-8365
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10113722
OR
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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