Individual
CORIANNE IRENE OGBURN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LDEM, CPM
Contact information
Practice address
1102 NE NEWPORT HEIGHTS DR, NEWPORT, OR 97365-9587
(541) 265-4455
(541) 265-4455
Mailing address
1102 NE NEWPORT HEIGHTS DR, NEWPORT, OR 97365-9587
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-974819
OR
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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