Provider Demographics
NPI:1679532972
Name:WOMAN TO WOMAN
Entity Type:Organization
Organization Name:WOMAN TO WOMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:COVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-318-7479
Mailing Address - Street 1:735 SW OTTER WAY
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1894
Mailing Address - Country:US
Mailing Address - Phone:541-318-7479
Mailing Address - Fax:
Practice Address - Street 1:735 SW OTTER WAY
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1894
Practice Address - Country:US
Practice Address - Phone:541-318-7479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD26887207V00000X
NC33636207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890160KMedicaid
NC890160KMedicaid