Individual
JONI PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 SE ANKENY ST, PORTLAND, OR 97214
(503) 233-3001
Mailing address
823 SE 25TH AVE, PORTLAND, OR 97214
(503) 467-6314
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/30/2015
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