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Individual

LOUANNE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
861 MEDICAL CENTER DR NE, SALEM, OR 97301-2752
(503) 364-3787
(503) 763-3595
Mailing address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5351
(503) 361-2666

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
099007252N5
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
292228
OMAP NUMBER
OR
Enumeration date
06/09/2006
Last updated
01/23/2008
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