Healthcare Provider Details
I. General information
NPI: 1316585953
Provider Name (Legal Business Name): BELIEVING IN BIRTH BIRTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/13/2019
Last Update Date: 12/13/2019
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
502 N 1ST ST
SILVERTON OR
97381-1402
US
IV. Provider business mailing address
502 N 1ST ST
SILVERTON OR
97381-1402
US
V. Phone/Fax
- Phone: 503-873-4777
- Fax: 503-874-1485
- Phone: 503-873-4777
- Fax: 503-874-1485
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QB0400X |
| Taxonomy | Birthing Clinic/Center |
| 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:
LINDSAY
KINMAN
Title or Position: MIDWIFE/OWNER
Credential: CPM, LDM
Phone: 503-873-4777