TRILLIUM WATERBIRTH CENTER; NPI #1811284409

Contact Information

TRILLIUM WATERBIRTH CENTER

400 CRATER LAKE AVE
MEDFORD, OR 97504-6808

Phone: 541-772-2291
Fax: 541-245-0417
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Birthing	261QB0400X

Indicates primary specialty

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NPI Profile & details for TRILLIUM WATERBIRTH CENTER

NPI Number 1811284409

LBN Legal business name TRILLIUM WATERBIRTH CENTER

Authorized official AUGUSTINE COLEBROOK - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/01/2011

Last updated 07/01/2011 - About 15 years ago

Identifiers

License #

07-1611

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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