Individual
LISA MICHELLE SULFFRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1068 W. PILGER ST., ROSEBURG, OR 97471
(541) 430-1499
(541) 283-0376
Mailing address
1068 W. PILGER ST., ROSEBURG, OR 97471
(541) 430-1499
(541) 283-0376
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
08/13/2021
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