Individual
LAUREN STUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSM, CPM, LDM
Contact information
Practice address
208 E ILLINOIS ST, NEWBERG, OR 97132-2327
(503) 747-8412
Mailing address
1530 E 1ST ST, NEWBERG, OR 97132-3237
(503) 487-6018
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10168844
OR
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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