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Individual

ASH ELIZABETH JOHNSDOTTIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM LDM

Contact information

Practice address
152 NE CONIFER BLVD APT B, CORVALLIS, OR 97330-4676
(541) 908-9188
Mailing address
152 NE CONIFER BLVD APT B, CORVALLIS, OR 97330-4676
(541) 908-9188

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEMLD10169961
OR

Other

Enumeration date
05/22/2015
Last updated
05/22/2015
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