Individual
JENNIFER ANN HAM
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
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-3878
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201350082NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500690202
—
OR
Enumeration date
07/07/2011
Last updated
06/06/2022
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