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Organization

SALEM MIDWIFE COLLECTIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANJA DESA FARIN (MEMBER, MIDWIFE)
(920) 915-8951
Entity
Organization

Contact information

Practice address
180 RAMSGATE SQ S, SALEM, OR 97302-5864
(503) 436-7414
(503) 506-6902
Mailing address
342 MONMOUTH AVE S, MONMOUTH, OR 97361-2110
(503) 436-7414
(503) 506-6902

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
367A00000X
Advanced Practice Midwife

Other

Enumeration date
01/11/2024
Last updated
01/11/2024
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