Individual
CHARLI BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDM, LM, CPM
Contact information
Practice address
4004 SE WOODSTOCK BLVD, PORTLAND, OR 97202-7662
(971) 361-8144
(503) 914-1476
Mailing address
4004 SE WOODSTOCK BLVD, PORTLAND, OR 97202-7662
(971) 361-8144
(503) 914-1476
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10186015
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17070014
THE NORTH AMERICAN REGISTRY OF MIDWIVES
—
01
—
DEM-LD-10186015
OREGON HEALTH LICENSING
OR
01
—
MW60840343
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
10/10/2017
Last updated
03/26/2025
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