Individual
JULIE SHIPRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
24850 SE STARK ST STE 200, GRESHAM, OR 97030-8320
(503) 491-9444
Mailing address
1608 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 504-8749
(503) 343-3283
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201604094NP-PP
OR
Other
Enumeration date
06/28/2016
Last updated
08/27/2020
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