Organization
BELLA VIE GENTLE BIRTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DESIREE LYNN LEFAVE (CO-OWNER)
(503) 537-6127
Entity
Organization
Contact information
Practice address
13160 JERUSALEM HILL RD NW, SALEM, OR 97304-9622
(503) 315-2229
Mailing address
13160 JERUSALEM HILL RD NW, SALEM, OR 97304-9622
(503) 315-2229
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
07-1587
OR
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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