Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | DEM-LD-10160208 | OR |
NPI | 1134552961 |
---|---|
Provider Name | Cara Michelle Frantz |
First Address | Ashland, OR 97520-9115 |
Second Address | Ashland, OR 97520-9115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2013 |
Last Update Date | 24/12/2013 |