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NPI 1811284409

OrganizationActive

Trillium Waterbirth Center

NPI 1811284409 · Birthing Clinic/Center · Medford, OR

Provider details

NPI number: 1811284409
Entity type: Organization
Primary specialty: Birthing Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Augustine Colebrook, Owner
License: 07-1611 (OR)

Practice location

400 Crater Lake Ave

Medford, OR 97504-6808

Phone: (541) 772-2291

Fax: (541) 245-0417

More OR providers

Mailing address

400 Crater Lake Ave

Medford, OR 97504-6808

Registry dates

Enumerated: 2011-07-01
Last updated: 2011-07-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Trillium Waterbirth Center — NPI 1811284409, Medford, OR | NPI Central