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Individual

DEBRA A COWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LDM

Contact information

Practice address
701 N 5TH ST UNIT B1010, LEBANON, OR 97355-0087
(541) 259-2500
Mailing address
701 N 5TH ST UNIT B1010, LEBANON, OR 97355-0087
(541) 259-2500
(541) 203-9449

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10131616
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09030002
CPM
OR
01
10131616
LDM-LD
OR
05
500610093
OR
Enumeration date
09/05/2008
Last updated
02/20/2025
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