Individual
MICKI A METOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDEM
Contact information
Practice address
1319 PARK LN, SEASIDE, OR 97138-4300
(469) 474-6122
Mailing address
1319 PARK LN, SEASIDE, OR 97138-4300
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10260995
OR
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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