Individual
MRS. PENELOPE RUTH CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
5050 NE HOYT ST, SUITE 353, PORTLAND, OR 97213-2991
(503) 239-6800
(503) 239-0006
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 996-3282
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
19617.0716
WY
367A00000X
Advanced Practice Midwife
Primary
201350088NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500672435
—
OR
Enumeration date
06/18/2007
Last updated
01/02/2015
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