Provider Demographics
NPI:1013582063
Name:CAMPBELL, ROSEMARY SNOW (THW, BIRTH DOULA)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:SNOW
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:THW, BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 HANSEN LN
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-3122
Mailing Address - Country:US
Mailing Address - Phone:458-210-6219
Mailing Address - Fax:
Practice Address - Street 1:124 HANSEN LN
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-3122
Practice Address - Country:US
Practice Address - Phone:458-210-6219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000104866374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula