Individual
EMILY J WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
35632 BREWSTER RD, LEBANON, OR 97355-9452
(541) 401-8630
Mailing address
35632 BREWSTER RD, LEBANON, OR 97355-9452
(541) 401-8630
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
DEM-LD-10172788
OR
176B00000X
Midwife
Primary
DEM-LD-10222030
OR
176B00000X
Midwife
MWR.0000179
CO
Other
Enumeration date
11/16/2015
Last updated
07/24/2022
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