Individual
MRS. TAYLOR JANAE FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-3878
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
458904
OH
367A00000X
Advanced Practice Midwife
Primary
202105302NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202105302NP-PP
NON-MEDICAID/MEDICAID
OR
Enumeration date
10/02/2020
Last updated
07/06/2023
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