Jennifer T Childress, CPM LDM

NPI #1134438039 in Nehalem, Oregon

Provider Information

NPI Number: 1134438039
Entity Type: Individual
Name: Jennifer T Childress, CPM LDM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: CPM LDM
Enumeration Date: Sep 27, 2010
Last Updated: Jul 18, 2011

Practice Location

Address: 40660 NORTHFORK RD
City: Nehalem
State: Oregon
ZIP Code: 97131-9511
Phone: (503) 368-5886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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