Healthcare Provider Details

I. General information

NPI: 1114365889
Provider Name (Legal Business Name): JULIA MAY BAILEY CPM, LDM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA MAY RHODES

II. Dates (important events)

Enumeration Date: 06/04/2013
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 SANTIAM HWY SE
ALBANY OR
97322-5293
US

IV. Provider business mailing address

2532 SANTIAM HWY SE # 314
ALBANY OR
97322-5211
US

V. Phone/Fax

Practice location:
  • Phone: 541-928-1002
  • Fax:
Mailing address:
  • Phone: 541-928-1002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberDEM-LD-10156108
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: