Individual
KATHRYN A NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNM
Contact information
Practice address
1285 LIBERTY ST SE, SALEM, OR 97302-4243
(503) 562-4040
Mailing address
PO BOX 14001, SALEM, OR 97309-5014
(503) 562-4040
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241302
—
OR
Enumeration date
06/25/2006
Last updated
01/18/2008
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