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Individual

JOANNA BLONDEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14508 NE 20TH AVE STE 300, VANCOUVER, WA 98686-6418
(360) 892-0208
Mailing address
5185 SW 175TH AVE, BEAVERTON, OR 97078-1779
(731) 607-6473

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP60989611

Other

Enumeration date
08/22/2019
Last updated
08/22/2019
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