Provider Demographics
NPI:1689897415
Name:KLEIN, MEREDITH R (CPM, LDM)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:R
Last Name:KLEIN
Suffix:
Gender:F
Credentials:CPM, LDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 UNION ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301
Mailing Address - Country:US
Mailing Address - Phone:512-374-9686
Mailing Address - Fax:503-207-6219
Practice Address - Street 1:605 UNION ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:512-374-9686
Practice Address - Fax:503-207-6219
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00009176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife