Individual
KELLY RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
890 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(541) 654-9076
(855) 525-4525
Mailing address
890 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(541) 515-6556
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201704023NP-PP
OR
367A00000X
Advanced Practice Midwife
AP60593727
WA
Other
Enumeration date
09/14/2015
Last updated
03/04/2024
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