Individual
RIVER FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
464 NE NORTON AVE, BEND, OR 97701-4387
(541) 318-6961
(541) 389-8200
Mailing address
22515 BEAR CREEK RD, BEND, OR 97701-9489
(541) 647-0490
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10148529
OR
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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