Organization
BALANCED BIRTH MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELEANOR ELIZABETH LEGARE LDM, CPM (MEMBER/OWNER)
(503) 230-2229
Entity
Organization
Contact information
Practice address
6245 E BURNSIDE ST, PORTLAND, OR 97215-1312
(503) 230-2229
(503) 234-2221
Mailing address
6245 E BURNSIDE ST, PORTLAND, OR 97215-1312
(503) 230-2229
(503) 234-2221
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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