Healthcare Provider Details

I. General information

NPI: 1457185399
Provider Name (Legal Business Name): MIDWIFERY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2024
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 N GRAND ST
EUGENE OR
97402-7203
US

IV. Provider business mailing address

4 N GRAND ST
EUGENE OR
97402-7203
US

V. Phone/Fax

Practice location:
  • Phone: 541-954-2284
  • Fax: 541-687-6969
Mailing address:
  • Phone: 541-954-2284
  • Fax: 541-687-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: COLLEEN MARIE FORBES
Title or Position: MIDWIFE
Credential: CPM, LDM
Phone: 541-954-2284