Individual
MARINA L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM LDM
Contact information
Practice address
26170 SW CANYON CREEK RD, APT 102, WILSONVILLE, OR 97070-7667
(503) 516-5261
Mailing address
26170 SW CANYON CREEK RD, APT 102, WILSONVILLE, OR 97070-7667
(503) 516-5261
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10157706
OR
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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