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Individual

ASHLEY BOOTH ULMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNM, ARNP

Contact information

Practice address
10101 SE MAIN ST STE 3001, PORTLAND, OR 97216-2458
(503) 261-4423
(503) 261-4424
Mailing address
10101 SE MAIN ST STE 3001, PORTLAND, OR 97216-2458
(503) 261-4423
(503) 261-4424

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00174879
WA
367A00000X
Advanced Practice Midwife
Primary
201500124NP-PP
OR
367A00000X
Advanced Practice Midwife
AP60268381
WA
367A00000X
Advanced Practice Midwife
APRN1936
CA
367A00000X
Advanced Practice Midwife
ARNP 9236524
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500680783
OR
01
R231394
MEDICARE
OR
Enumeration date
06/17/2011
Last updated
11/04/2022
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