MEDICARE: MISCHA INGE ANNA HUSKEY LDM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	THW000109774	OR
2	176B00000X	Midwife	DEM-LD-10215534	OR

General Provider Information

NPI Number	:	1154993111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISCHA INGE ANNA HUSKEY LDM

Provider Business Mailing Address
First Line	:	2583 E MAIN ST
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520-8704
Country	:	US
Telephone Number	:	541-787-5331
Fax Number	:	541-833-2053

Provider Business Practice Location Address
First Line	:	534 WASHINGTON ST
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520-1682
Country	:	US
Telephone Number	:	541-787-5331
Fax Number	:	541-833-2053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2021
Last Update Date	:	04/12/2026

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Directions to “ MISCHA INGE ANNA HUSKEY LDM” Practice Location

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