Whalio Doctors

NPI 1114260650

Lori Jo Marlia-Larsen

Practitioner Advanced Practice Midwife Medford, OR

Practice location

Address
221 W Stewart Ave STE 101, Medford, OR 97501-3609
Phone
(541) 690-3555
Mailing address
931 Chevy Way, Medford, OR 97504-4127

Registered specialties (2)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 201602517NP-PP (OR)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 200942263RN (OR)

Registry record

NPI
1114260650
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Apr 2013
Record last updated
10 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.