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Individual

MRS. DESIREE LYNN LEFAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LDM

Contact information

Practice address
114 E HANCOCK ST, NEWBERG, OR 97132-2822
(503) 538-1033
(503) 538-1033
Mailing address
408 S CENTER ST, NEWBERG, OR 97132-3553
(503) 537-6127
(503) 538-1033

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
DEM-LD-842083
OR

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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