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Contact Information

KALISTA BIRTH SANCTUARY LLC
924 E JACKSON ST
MEDFORD, OR97504
 Phone: 541-779-0100
 Fax: 541-779-0107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for KALISTA BIRTH SANCTUARY LLC · (Female)

NPI # 1508296971
Status Active
Credentials
Entity Individual
Enumeration date 11/20/2013
Last updated 11/20/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 1556
  • OR License # 83-OB
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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