Individual
MARY JANE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM,LDM
Contact information
Practice address
9400 HIGHWAY 238, JACKSONVILLE, OR 97530-9554
(541) 226-7061
(541) 899-9027
Mailing address
181 UPPER APPLEGATE RD # 273, JACKSONVILLE, OR 97530-9739
(541) 899-3967
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
DEMLD10115742
OR
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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