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Individual

ELLEN L. TILDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4500
Mailing address
2805 SE YAMHILL ST, PORTLAND, OR 97214-4038
(503) 238-2476

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200341454RN
OR
367A00000X
Advanced Practice Midwife
200350082NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227416
OR
Enumeration date
09/20/2006
Last updated
01/09/2012
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