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Individual

JULIE ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, NP

Contact information

Practice address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
200350109NP NMNP
OR
367A00000X
Advanced Practice Midwife
Primary
200350109
OR

Other

Enumeration date
07/31/2006
Last updated
08/15/2012
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