Provider Demographics
NPI:1841564234
Name:THREE SISTERS MIDWIFERY LLC
Entity Type:Organization
Organization Name:THREE SISTERS MIDWIFERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:RHIONE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEIXCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:LDM
Authorized Official - Phone:541-890-2768
Mailing Address - Street 1:PO BOX 1394
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97530-1394
Mailing Address - Country:US
Mailing Address - Phone:541-833-0999
Mailing Address - Fax:541-899-6877
Practice Address - Street 1:235 W MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:JACKSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97530-9278
Practice Address - Country:US
Practice Address - Phone:541-833-0999
Practice Address - Fax:541-899-6877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10118762176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty