Organization
WILDER MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WEST VINING CPM, LDM (CERTIFIED PROFESSIONAL MIDWIFE)
(405) 596-7326
Entity
Organization
Contact information
Practice address
405 NE 3RD ST, MCMINNVILLE, OR 97128-6219
(405) 596-7326
Mailing address
3262 MAYFIELD PL N, KEIZER, OR 97303-6034
(405) 596-7326
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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