Provider Demographics
NPI:1235529223
Name:MIDVALLEY BIRTHING SERVICES LLC
Entity Type:Organization
Organization Name:MIDVALLEY BIRTHING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LDM
Authorized Official - Phone:541-928-1002
Mailing Address - Street 1:2532 SANTIAM HWY SE
Mailing Address - Street 2:#314
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:541-981-2072
Practice Address - Street 1:3111 SANTIAM HWY SE
Practice Address - Street 2:SUITE H
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:541-981-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD-10156108176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty