IndividualActive
Mary Durham, CPM,LDM
NPI 1356566517 · Lay Midwife · Jacksonville, OR
Provider details
- NPI number
- 1356566517
- Entity type
- Individual
- Primary specialty
- Lay MidwifeOther Service Providers
- Credential
- CPM,LDM
- Sex
- Female
- Sole proprietor
- No
- License
- DEMLD10115742 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
9400 Highway 238
Jacksonville, OR 97530-9554
Phone: (541) 226-7061
Fax: (541) 899-9027
Approximate (ZIP-level) locationGet directions
Mailing address
181 Upper Applegate Rd # 273
Jacksonville, OR 97530-9739
Registry dates
- Enumerated
- 2007-04-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.