Individual
JANELL MARIE NIEMANN-ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
10330 SE 32ND AVE STE 305, MILWAUKIE, OR 97222-6596
(503) 513-1800
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00174081
WA
367A00000X
Advanced Practice Midwife
Primary
201502910NP-PP
OR
367A00000X
Advanced Practice Midwife
AP30007791
WA
Other
Enumeration date
08/29/2007
Last updated
10/14/2020
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