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Organization

MIDWIFE LENNON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LENNON CLARK CPM, LDEM (OWNER)
(503) 999-1641
Entity
Organization

Contact information

Practice address
330 BUSH ST SE, SALEM, OR 97302-4128
(503) 999-1641
(888) 597-2525
Mailing address
533 CLARMAR DR NE, SALEM, OR 97301-4826
(503) 999-1641
(888) 597-2525

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
10/09/2023
Last updated
10/09/2023
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