Organization
TRILLIUM WATERBIRTH CENTER REDWOOD CLINIC
Active
Organization
TRILLIUM WATERBIRTH CENTER REDWOOD CLINIC
Active
Parent organization
TRILLIUM WATERBIRTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRILLIUM WATERBIRTH CENTER
Authorized official
AUGUSTINE F COLEBROOK CPM, LM (OWNER, DIRECTOR, MIDWIFE)
(541) 772-2291
Entity
Organization
Contact information
Practice address
1453 REDWOOD CIR, GRANTS PASS, OR 97527-5523
(541) 479-4483
(541) 479-0830
Mailing address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 772-2291
(541) 245-0417
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
OR
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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