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Individual

MRS. UTE FROMMER SHERBOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM NP MSN

Contact information

Practice address
312 EAST MAIN STREET, TALENT, OR 97540
(541) 535-9108
(541) 535-8809
Mailing address
312 EAST MAIN STREET, TALENT, OR 97540
(541) 535-9108
(541) 535-8809

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
86000353
OR
367A00000X
Advanced Practice Midwife
86000353

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150069
OR
01
R165561
MEDICARE
Enumeration date
12/14/2006
Last updated
04/30/2014
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