MRS. GEORGANNE M. CLARK (NPI# 1417116070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417116070 |
| Entity Type | Individual |
| Full Name | MRS. GEORGANNE M. CLARK |
| Credential | C.P.M. |
| Practice Address |
1009 W 1st Ave Eugene OR 97402-4905 |
| Practice Telephone | 5415174268 |
| Mailing Telephone | 5415174268 |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2008-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | Other Service Providers |
| Street Address |
1009 W 1ST AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800146 | Christy Pellicer | Midwife | 27798 Gibralter Loop, Eugene, OR 97405-9737 | 2016-02-08 |
| 1316287048 | Anne Elizabeth Wright | Midwife | 3575 Donald St Ste 230, Eugene, OR 97405-4759 | 2013-02-16 |
| 1821348178 | Darby Partner | Midwife | 2475 Tyler St, Eugene, OR 97405-2264 | 2012-09-13 |
| 1063658722 | Sarah Macrorie | Midwife | 91 N Polk St, Eugene, OR 97402-4108 | 2008-12-31 |
| 1053597195 | Amanda Moore | Midwife | 1955 Graham Dr, Eugene, OR 97405-1790 | 2008-01-19 |
| 1265641005 | Marjie Ann Houck | Midwife | 28631 Sutherlin Ln, Eugene, OR 97405 | 2007-05-21 |
| 1679096705 | Michelle L Brookey | Midwife | 590 Country Club Pkwy, Eugene, OR 97401-6025 | 2017-07-20 |
| 1023418449 | Lauren Sophia Ricci | Midwife | 2035 W 12th Ave, Eugene, OR 97402-3522 | 2014-09-04 |
| 1083918304 | Erin M Lusk | Midwife | 2035 W 12th Ave, Eugene, OR 97402-3522 | 2010-12-29 |
| 1760571079 | Dorothy Shannon | Midwife | 1755 Coburg Rd, Bldg 1, Suite 2, Eugene, OR 97401-4982 | 2006-10-12 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.