Provider Demographics
NPI:1598102311
Name:GAUSS, MICAELA ASTER (CPM, LDM)
Entity type:Individual
Prefix:MRS
First Name:MICAELA
Middle Name:ASTER
Last Name:GAUSS
Suffix:
Gender:F
Credentials:CPM, LDM
Other - Prefix:
Other - First Name:MICAELA
Other - Middle Name:ASTER
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPM, LDM
Mailing Address - Street 1:PO BOX 241
Mailing Address - Street 2:
Mailing Address - City:WILLIAMS
Mailing Address - State:OR
Mailing Address - Zip Code:97544-0241
Mailing Address - Country:US
Mailing Address - Phone:541-415-6036
Mailing Address - Fax:541-833-5419
Practice Address - Street 1:331 MEADOWBROOK LN
Practice Address - Street 2:
Practice Address - City:WILLIAMS
Practice Address - State:OR
Practice Address - Zip Code:97544-9503
Practice Address - Country:US
Practice Address - Phone:541-415-6036
Practice Address - Fax:541-833-5419
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD-10153125176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife