Individual
MAURA MAURA JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
7911 SE STARK ST, PORTLAND, OR 97215-2341
(503) 575-8596
(503) 334-4112
Mailing address
2124 SE OAK ST, PORTLAND, OR 97214-1607
(503) 575-8596
(503) 334-4112
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEMLD10191443
OR
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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