Individual
SUSAN JAYNE PURDY BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM LDM
Contact information
Practice address
64463 WOLF CREEK LN, NORTH POWDER, OR 97867-9121
(541) 898-2417
Mailing address
64463 WOLF CREEK LN, NORTH POWDER, OR 97867-9121
(541) 898-2417
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10128390
OR
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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