Individual
JANNAE PALOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, BSM, CPM
Contact information
Practice address
8913 NE RUSSELL ST, PORTLAND, OR 97220-5359
(208) 818-2381
Mailing address
8913 NE RUSSELL ST, PORTLAND, OR 97220-5359
(208) 818-2381
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LM-10236546
OR
374J00000X
Doula
—
OR
Other
Enumeration date
04/26/2017
Last updated
11/08/2023
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