Lori Jo Marlia-larsen, | |
221 W Stewart Ave Ste 101, Medford, OR 97501-3609 | |
(541) 690-3555 | |
Not Available |
Full Name | Lori Jo Marlia-larsen |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 221 W Stewart Ave Ste 101, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114260650 | NPI | - | NPPES |
201602517NP-PP | Other | OR | OREGON STATE BOARD OF NURSING |
200942263RN | Other | OR | OSBN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 200942263RN (Oregon) | Secondary |
367A00000X | Advanced Practice Midwife | 201602517NP-PP (Oregon) | Primary |
Entity Name | La Clinica Del Valle Family Health Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851327571 PECOS PAC ID: 0244143089 Enrollment ID: O20031107000627 |
Mailing Address | Practice Location Address |
---|---|
Lori Jo Marlia-larsen, 931 Chevy Way, Medford, OR 97504-4127 Ph: (541) 690-3555 | Lori Jo Marlia-larsen, 221 W Stewart Ave Ste 101, Medford, OR 97501-3609 Ph: (541) 690-3555 |
Ms. Stephanie A Estes, CRNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 221 W Stewart Ave Ste 101, Medford, OR 97501 Phone: 541-690-3500 Fax: 541-842-2210 | |
Linda D Osborne, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 940 Royal Ave, Suite 350, Medford, OR 97504 Phone: 541-732-7460 Fax: 541-732-7461 | |
Caraway L Timmins, CNM, MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3617 S Pacific Hwy, Medford, OR 97501 Phone: 541-535-6239 Fax: 541-535-4377 | |
Rebecca Rose, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 221 W Stewart Ave Ste 101, Medford, OR 97501 Phone: 541-690-3555 | |
Ireli Yudith Hernandez, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 221 W Stewart Ave Ste 101, Medford, OR 97501 Phone: 541-690-3500 | |
Nancy Seulean, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 940 Royal Ave, Suite 350, Medford, OR 97504 Phone: 541-732-7460 Fax: 541-732-7461 | |
Betty Kay Taylor, NMNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 940 Royal Ave, Ste 350, Medford, OR 97504 Phone: 541-732-7460 Fax: 541-732-7461 |