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Organization

KALISTA BIRTH SANCTUARY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WENDY HALE ND (NATUROPATHIC DOCTOR)
(541) 779-0100
Entity
Organization

Contact information

Practice address
924 E JACKSON ST, MEDFORD, OR 97504
(541) 779-0100
(541) 779-0107
Mailing address
924 E JACKSON ST, MEDFORD, OR 97504
(541) 779-0100
(541) 779-0107

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1556
OR
176B00000X
Midwife
83-OB
OR

Other

Enumeration date
11/20/2013
Last updated
11/20/2013
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