Individual
JESSICA WEST VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
10566 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 855-1220
Mailing address
3262 MAYFIELD PL N, KEIZER, OR 97303-6034
(405) 596-7326
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10195563
OR
Other
Enumeration date
03/21/2017
Last updated
11/04/2021
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