Basic Information
Provider Information
NPI: 1821055385
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOLAY
FirstName: MEAGHAN
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1508 DIVISION ST
Address2: SUITE 205
City: OREGON CITY
State: OR
PostalCode: 970451582
CountryCode: US
TelephoneNumber: 5036571071
FaxNumber: 5036573321
Practice Location
Address1: 1508 DIVISION ST
Address2: SUITE 205
City: OREGON CITY
State: OR
PostalCode: 970451582
CountryCode: US
TelephoneNumber: 5036571071
FaxNumber: 5036573321
Other Information
ProviderEnumerationDate: 04/27/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X089006665N5 NMNPORY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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