Provider Demographics
NPI:1013216878
Name:GRIEGO-MARSH, ARISTOTLE L (CNM)
Entity Type:Individual
Prefix:MISS
First Name:ARISTOTLE
Middle Name:L
Last Name:GRIEGO-MARSH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ARI
Other - Middle Name:L
Other - Last Name:GRIEGO-MARSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 13129
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97309-1129
Mailing Address - Country:US
Mailing Address - Phone:503-562-2754
Mailing Address - Fax:503-561-2737
Practice Address - Street 1:875 OAK ST SE STE 5030
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3991
Practice Address - Country:US
Practice Address - Phone:503-562-4040
Practice Address - Fax:503-562-4041
Is Sole Proprietor?:No
Enumeration Date:2011-03-19
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM617176B00000X
OR201402777NP-PP367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife