Individual
BETHANY JOY LOEHRKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
314 SE BEECH AVE, GRESHAM, OR 97080-7723
(503) 475-4481
Mailing address
PO BOX 2011, FAIRVIEW, OR 97024-1810
(971) 231-5232
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10209555
OR
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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