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Individual

MS. CYNTHIA J. LUXFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LDM-CPM

Contact information

Practice address
3013 N. NORTHBANK ROAD, OTIS, OR 97368
(541) 996-3968
(541) 996-6353
Mailing address
3013 N. NORTHBANK ROAD, OTIS, OR 97368
(541) 996-3968
(541) 996-6353

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
594879
OR
261QB0400X
Birthing Clinic/Center
07-1569
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140025
OR
05
213447
OR
Enumeration date
03/15/2007
Last updated
09/28/2010
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