Organization
EDEN MIDWIFERY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MASSEY CNM (DIRECTOR)
(541) 510-5155
Entity
Organization
Contact information
Practice address
890 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(541) 515-6556
Mailing address
890 BELTLINE RD, SPRINGFIELD, OR 97477-1091
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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