Organization
NEST MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE PERRON MEDNICK CPM (MIDWIFE/PARTNER)
(503) 449-4465
Entity
Organization
Contact information
Practice address
2225 NE MLK BLVD, PORTLAND, OR 97212-3788
(503) 449-4465
(480) 772-4995
Mailing address
2225 NE MLK BLVD, PORTLAND, OR 97212-3788
(503) 449-4465
(480) 772-4995
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10129435
OR
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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