Organization
MOTHERWISE COMMUNITY BIRTH CENTER
Active
Organization
MOTHERWISE COMMUNITY BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TUCKER CPM, LM (MIDWIFE, OWNER)
(541) 318-6961
Entity
Organization
Contact information
Practice address
464 NE NORTON AVE, BEND, OR 97701-4387
(541) 318-6961
(541) 389-5345
Mailing address
464 NE NORTON AVE, BEND, OR 97701-4387
(541) 318-6961
(541) 389-5345
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
07-1589
OR
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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