Organization
BELLA VIE GENTLE BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA PROSTREDNIK (DIRECTOR)
(503) 315-2229
Entity
Organization
Contact information
Practice address
13160 JERUSALEM HILL RD NW, SALEM, OR 97304-9622
(503) 315-2229
Mailing address
13160 JERUSALEM HILL RD NW, SALEM, OR 97304-9622
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
07-1587
OR
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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