Organization
MOON SISTERS MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE LANG CPM, LDM (OWNER/PRACTIONER)
(503) 341-6988
Entity
Organization
Contact information
Practice address
2004 MAIN ST STE 313, FOREST GROVE, OR 97116-7338
(503) 341-6988
(503) 894-6036
Mailing address
1735 ASH ST, FOREST GROVE, OR 97116-2424
(503) 341-6988
(503) 894-6036
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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