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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