Individual
ALISHA VILA MADRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, MN
Contact information
Practice address
2024 SE CLINTON ST, PORTLAND, OR 97202-2245
(503) 238-6262
(503) 200-1229
Mailing address
2024 SE CLINTON ST, PORTLAND, OR 97202-2245
(503) 238-6262
(503) 200-1229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200141810RN
OR
367A00000X
Advanced Practice Midwife
200450053NP NMNP
OR
367A00000X
Advanced Practice Midwife
Primary
200450053NP NMNP-PP
OR
Other
Enumeration date
04/28/2006
Last updated
03/22/2010
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