Mary Jane Durham, CPM,LDM

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

License

DEMLD10115742 Issued in OR

Practice address

9400 Highway 238
Jacksonville, OR 97530-9554

Phone

(541) 226-7061

Fax

(541) 899-9027

NPI assigned

Apr 14, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mary Jane Crowden Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356566517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 UPPER APPLEGATE RD # 273",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309739",
            "telephone_number": "541-899-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 HIGHWAY 238",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309554",
            "telephone_number": "541-226-7061",
            "fax_number": "541-899-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "CPM,LDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "OR",
            "license": "DEMLD10115742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CROWDEN",
            "middle_name": "JANE",
            "credential": "LDM, CPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Lay Midwife in Jacksonville, OR
• Providers in Jacksonville, OR by specialty
• Lay Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.