Individual
BROOKE B BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1532 SISKIYOU BLVD, ASHLAND, OR 97520
(541) 344-9411
(541) 344-6519
Mailing address
3579 FRANKLIN BLVD, EUGENE, OR 97403-2356
(541) 344-9411
(541) 344-6519
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201703714NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500744460
—
OR
Enumeration date
05/31/2018
Last updated
07/06/2018
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