Individual
OLIVIA KROENING-ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7591
(503) 494-7591
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7591
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201250064NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500649238
—
OR
01
—
R173380
MEDICARE PTAN
OR
Enumeration date
01/18/2007
Last updated
03/17/2018
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