Organization
MOTHERSEED MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ROCHELLE TONKIN SMITH CPM (MEMBER MANAGER)
(503) 312-9461
Entity
Organization
Contact information
Practice address
19295 SW HENNIG ST, ALOHA, OR 97006-2412
(503) 709-8911
Mailing address
19295 SW HENNIG ST, ALOHA, OR 97006-2412
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
08030019
—
176B00000X
Midwife
Primary
DEMLD10132453
OR
Other
Enumeration date
10/26/2009
Last updated
11/23/2009
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