Provider Demographics
NPI:1891742300
Name:RIGHT AT HOME MIDWIFERY SERVICES, LLC
Entity Type:Organization
Organization Name:RIGHT AT HOME MIDWIFERY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LEGARE
Authorized Official - Suffix:
Authorized Official - Credentials:LDM, CPM
Authorized Official - Phone:503-314-9186
Mailing Address - Street 1:3712 SE 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-2446
Mailing Address - Country:US
Mailing Address - Phone:503-314-9186
Mailing Address - Fax:503-771-5501
Practice Address - Street 1:3712 SE 76TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-2446
Practice Address - Country:US
Practice Address - Phone:503-314-9186
Practice Address - Fax:503-771-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD-269194176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR000505OtherOR MEDICAL ASSISTANCE PRO