Provider Demographics
NPI:1487919783
Name:AURORA FAMILY HEALTH AND MATERNITY CARE SERVICES LLC
Entity type:Organization
Organization Name:AURORA FAMILY HEALTH AND MATERNITY CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CORCORAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, CNM
Authorized Official - Phone:503-678-6269
Mailing Address - Street 1:21358 HWY 99E NE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OR
Mailing Address - Zip Code:97002
Mailing Address - Country:US
Mailing Address - Phone:503-678-6269
Mailing Address - Fax:503-217-1599
Practice Address - Street 1:21358 HWY 99E NE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OR
Practice Address - Zip Code:97002
Practice Address - Country:US
Practice Address - Phone:503-678-6269
Practice Address - Fax:503-217-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty