Individual
ALYSA KRISTINE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
449 N 1ST ST, AUMSVILLE, OR 97325-9601
(503) 931-4693
Mailing address
449 N 1ST ST, AUMSVILLE, OR 97325-9601
(503) 931-4693
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10209428
OR
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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