Provider Demographics
NPI:1114365889
Name:BAILEY, JULIA MAY (CPM, LDM)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MAY
Last Name:BAILEY
Suffix:
Gender:F
Credentials:CPM, LDM
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:MAY
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2532 SANTIAM HWY SE # 314
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-5211
Mailing Address - Country:US
Mailing Address - Phone:541-928-1002
Mailing Address - Fax:
Practice Address - Street 1:3111 SANTIAM HWY SE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-5293
Practice Address - Country:US
Practice Address - Phone:541-928-1002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD-10156108176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife