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Individual

JESSICA L NEWGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, RN

Contact information

Practice address
9135 SW BARNES RD STE 761, PORTLAND, OR 97225-6777
(503) 216-2602
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
201506871RN
OR
367A00000X
Advanced Practice Midwife
Primary
201707244NP-PP
OR

Other

Enumeration date
11/12/2015
Last updated
10/13/2020
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