Individual
MICA ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, DNP, CNM
Contact information
Practice address
700 NE 87TH AVE STE AND170, VANCOUVER, WA 98664-4896
(360) 882-2778
Mailing address
5014 SE TOLMAN ST, PORTLAND, OR 97206-6974
(925) 212-1182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202111495RN
OR
163W00000X
Registered Nurse
RN61267058
WA
367A00000X
Advanced Practice Midwife
Primary
AP61565827
WA
Other
Enumeration date
04/03/2024
Last updated
08/09/2024
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