Provider Demographics
NPI:1134552961
Name:FRANTZ, CARA MICHELLE (DEM)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:MICHELLE
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 ASHLAND MINE RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-9115
Mailing Address - Country:US
Mailing Address - Phone:541-727-1116
Mailing Address - Fax:541-488-4441
Practice Address - Street 1:2026 ASHLAND MINE RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-9115
Practice Address - Country:US
Practice Address - Phone:541-727-1116
Practice Address - Fax:541-488-4441
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2013-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD-10160208176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife