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Individual

MOLLY F WEEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
9555 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6663
(503) 292-3577
(503) 292-3947
Mailing address
7650 SW BEVELAND RD, SUITE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201407282RN
OR
367A00000X
Advanced Practice Midwife
Primary
201407283NP-PP
OR
367A00000X
Advanced Practice Midwife
F001437
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500697504
OR
01
R186789
MEDICARE PTAN
OR
Enumeration date
06/26/2012
Last updated
06/24/2016
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