Individual
MARIA VACARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
2330 NE DIVISION ST, SUITE 7, BEND, OR 97701-3530
(503) 775-4931
(503) 788-7285
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, ATTN: CREDENTIALING, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201050134NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500624036
—
OR
Enumeration date
07/23/2010
Last updated
11/17/2011
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