Individual
BROOKLYNNE OLDS TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, DNP
Contact information
Practice address
3100 MARTIN LUTHER KING JR PKWY, SPRINGFIELD, OR 97477-7514
(541) 686-2922
Mailing address
PO BOX 70368, SPRINGFIELD, OR 97475-0120
(541) 485-2777
(541) 246-2353
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
OR
Other
Enumeration date
01/28/2020
Last updated
03/02/2020
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