Individual
ASHLEY ROSE MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDM, CPM
Contact information
Practice address
235 E. MAIN ST., JACKSONVILLE, OR 97530
(971) 322-7398
Mailing address
PO BOX 1394, JACKSONVILLE, OR 97530-1394
(971) 322-7398
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10152621
OR
Other
Enumeration date
12/06/2011
Last updated
03/12/2013
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