Organization
WISE WOMEN CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUGUSTINE COLEBROOK CPM, LM (MIDWIFE)
(541) 772-2291
Entity
Organization
Contact information
Practice address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 772-2291
(541) 245-0417
Mailing address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 772-2291
(541) 245-0417
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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