Individual
MS. JABKE S BUESSELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7431 NE EVERGREEN PKWY, STE 100, HILLSBORO, OR 97124-5831
(503) 840-3400
(503) 840-3409
Mailing address
7650 SW BEVELAND RD, SUITE 100, PORTLAND, OR 97223-8692
(503) 855-1620
(503) 840-3299
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200550122NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274289
—
OR
01
—
R157438
MEDICARE PTAN
OR
Enumeration date
08/24/2006
Last updated
05/08/2018
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