Organization
COLUMBIA GORGE MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNETTE TILLEY CPM,LDM (OWNER)
(541) 490-3140
Entity
Organization
Contact information
Practice address
2324 FREEDOM DR, HOOD RIVER, OR 97031-8671
(541) 490-3140
(541) 386-8365
Mailing address
2324 FREEDOM DR, HOOD RIVER, OR 97031-8671
(541) 490-3140
(541) 386-8365
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10113722
OR
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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