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Individual

TERESA BURNELLE KEIRNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNM

Contact information

Practice address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(888) 875-7820
Mailing address
4750 SE ROBIN RD, MILWAUKIE, OR 97267-3121
(401) 225-6167

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
730310
CA
367A00000X
Advanced Practice Midwife
1904
CA
367A00000X
Advanced Practice Midwife
Primary
201601564NP-PP
OR
367A00000X
Advanced Practice Midwife
AP60670307
WA

Other

Enumeration date
08/03/2010
Last updated
10/31/2025
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