Individual
LISA CHRISTINE AVERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2700 SE STRATUS AVE, SUITE 301, MCMINNVILLE, OR 97128
(503) 474-1148
(503) 434-6148
Mailing address
2700 SE STRATUS AVE, SUITE 301, MCMINNVILLE, OR 97128
(503) 474-1148
(503) 434-6148
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
20050058NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292902
—
OR
Enumeration date
06/23/2006
Last updated
07/08/2007
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