Individual
MISS ROSEMARY LOPERENA MOURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, CD, CLE
Contact information
Practice address
2126 SE MADISON ST, PORTLAND, OR 97214-3836
(939) 579-3674
Mailing address
2126 SE MADISON ST, PORTLAND, OR 97214-3836
(939) 579-3674
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10199689
OR
374J00000X
Doula
—
—
Other
Enumeration date
08/07/2014
Last updated
05/21/2019
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