Organization
MANDALA MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MARIE JOHNSON CPM, LDM (OWNER)
(541) 647-1788
Entity
Organization
Contact information
Practice address
63030 COLE RD, BEND, OR 97701-9564
(541) 647-1788
(541) 205-4885
Mailing address
63030 COLE RD, BEND, OR 97701-9564
(541) 647-1788
(541) 205-4885
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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