Individual
SARAH BLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEM, FAE
Contact information
Practice address
509 5TH ST., PHOENIX, OR 97535
(541) 821-2522
Mailing address
PO BOX 1175, PHOENIX, OR 97535-1175
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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