Individual
ANDREA MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 788-7273
Mailing address
2104 NE 13TH AVE, PORTLAND, OR 97212-4314
(971) 322-3191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201908522
OR
367A00000X
Advanced Practice Midwife
Primary
202110082NP-PP
OR
Other
Enumeration date
12/30/2019
Last updated
06/10/2022
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