Healthcare Provider Details

I. General information

NPI: 1700609153
Provider Name (Legal Business Name): ARTEMIS MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 WASHINGTON ST
ASHLAND OR
97520-1682
US

IV. Provider business mailing address

2583 E MAIN ST
ASHLAND OR
97520-8704
US

V. Phone/Fax

Practice location:
  • Phone: 541-787-5331
  • Fax: 541-833-2053
Mailing address:
  • Phone: 541-787-5331
  • Fax: 541-833-2053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MISCHA INGE ANNA ORBONS
Title or Position: OWNER, LICENSED MIDWIFE
Credential: CPM, LDM
Phone: 541-787-5331