Individual
ELIZABETH HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDM
Contact information
Practice address
541 W 21ST AVE, EUGENE, OR 97405-2623
(541) 953-8673
Mailing address
541 W 21ST AVE, EUGENE, OR 97405-2623
(541) 953-8673
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
DEM-LD-1005412
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269864
OMAP
OR
Enumeration date
05/07/2007
Last updated
07/08/2007
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