Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | DEM-LD-1007143 | OR |
NPI | 1053599241 |
---|---|
Provider Name | Dr. Melissa Jean Cheyney |
First Address | Corvallis, OR 97330-5543 |
Second Address | Corvallis, OR 97330-5543 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2008 |
Last Update Date | 10/02/2008 |