Individual
CRISTYL DAWN GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
10414 SE YUKON ST, PORTLAND, OR 97266-4235
(503) 367-6767
Mailing address
10414 SE YUKON ST, PORTLAND, OR 97266-4235
(503) 367-6767
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEMLD10162477
OR
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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