Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1063658722 |
---|---|
Provider Name | Mrs. Sarah Macrorie |
First Address | Eugene, OR 97402-4108 |
Second Address | Eugene, OR 97402-4108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2008 |
Last Update Date | 31/12/2008 |