Individual
LAURIE PERRON MEDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
2225 NE MLK BLVD, PORTLAND, OR 97212-3788
(503) 449-4465
(480) 772-4995
Mailing address
2225 NE MLK BLVD, PORTLAND, OR 97212-3788
(503) 449-4465
(480) 772-4995
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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