Individual
INGRID A CHERRYTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9135 SW BARNES RD, STE 761, PORTLAND, OR 97225-6646
(503) 216-2602
Mailing address
PO BOX 3158, MS:M4-PFS, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD164171
OR
207VG0400X
Gynecology Physician
MD60284993
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297071
LABOR AND INDUSTRY
WA
05
—
500661870
—
OR
Enumeration date
05/23/2008
Last updated
03/14/2017
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