Basic Information
Provider Information
NPI: 1891891529
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PRAGER
FirstName: HILARY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 24410
Address2:  
City: EUGENE
State: OR
PostalCode: 974020451
CountryCode: US
TelephoneNumber: 5419844301
FaxNumber: 5413352527
Practice Location
Address1: 353 DEADMOND FERRY RD
Address2:  
City: SPRINGFIELD
State: OR
PostalCode: 974779406
CountryCode: US
TelephoneNumber: 5412227750
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/16/2006
LastUpdateDate: 11/16/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X200950130NPORY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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