Individual
SARAH JEAN MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM LDM
Contact information
Practice address
4801 NE 12TH AVE, PORTLAND, OR 97211-4619
(503) 914-1476
Mailing address
4345 SE 47TH AVE, PORTLAND, OR 97206-4059
(517) 614-5411
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LD-10190418
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD-10190418
OREGON STATE LICENSURE
OR
Enumeration date
04/03/2018
Last updated
04/03/2018
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