| Mother Baby Postpartum Clinic At Providence Milwaukie | |
|
10150 Se 32nd Ave Suite 2e 102 Milwaukie OR 97222-6516 | |
| (503) 515-1190 | |
| Not Available |
| Full Name | Mother Baby Postpartum Clinic At Providence Milwaukie |
|---|---|
| Speciality | Clinic/center |
| Location | 10150 Se 32nd Ave, Milwaukie, Oregon |
| Authorized Official Name and Position | Keenan B Freeman (CFO) |
| Authorized Official Contact | 5038936524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mother Baby Postpartum Clinic At Providence Milwaukie Po Box 3158 Portland OR 97208-3158 Ph: () - | Mother Baby Postpartum Clinic At Providence Milwaukie 10150 Se 32nd Ave Suite 2e 102 Milwaukie OR 97222-6516 Ph: (503) 515-1190 |
| NPI Number | 1356768105 |
|---|---|
| Provider Enumeration Date | 03/18/2014 |
| Last Update Date | 03/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356768105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
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