Individual
STEPHANIE WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
7085 BATTLE CREEK RD SE, SALEM, OR 97317-9395
(859) 302-2555
Mailing address
7085 BATTLE CREEK RD SE, SALEM, OR 97317-9395
(859) 302-2555
(503) 967-7600
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10221360
OR
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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