Moon Sisters Midwifery LLC
Clinic/Center, Birthing in Forest Grove, OR. Organization (NPI-2).
NPI number1295541936
StatusActive
Last updated in NPPESDec 7, 2024
Details
- NPI
- 1295541936
- Entity type
- Organization (NPI-2)
- Legal business name
- Moon Sisters Midwifery LLC
- Organization subpart
- No
- Enumeration date
- Dec 7, 2024
- Certification date
- Dec 7, 2024
- Last updated
- Dec 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QB0400X | Clinic/Center, Birthing | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
2004 Main St Ste 313Forest Grove, OR 97116-7338
Phone 503-341-6988 · Fax 503-894-6036
Mailing address
1735 Ash StForest Grove, OR 97116-2424
Phone 503-341-6988 · Fax 503-894-6036
Authorized official
Desiree Lang
Owner/Practioner
5033416988
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