Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 617 | NM |
NPI | 1013216878 |
---|---|
Provider Name | Miss Aristotle L. Griego-Marsh |
First Address | Salem, OR 97309-1129 |
Second Address | Salem, OR 97301-3991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2011 |
Last Update Date | 17/07/2014 |