Individual
MS. TINA M GAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
380 NINTH STREET, PEACEHEALTH, FLORENCE, OR 97439
(541) 997-7134
(541) 902-1320
Mailing address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 902-1320
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200550130NP NMNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102370000
—
WV
Enumeration date
06/09/2005
Last updated
11/04/2013
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