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Individual

MICHELE D PETERS-CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
353 DEADMOND FERRY RD, SPRINGFIELD, OR 97477-9406
(541) 222-7750
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
084058940N5
OR
367A00000X
Advanced Practice Midwife
084058940N5
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126458
OR
Enumeration date
06/16/2006
Last updated
01/09/2013
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