Organization
GLOW MIDWIFERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA CHRISTINE TRUBY CPM, LDM (PROPRIETOR)
(971) 275-6106
Entity
Organization
Contact information
Practice address
4031 SE SALMON ST, PORTLAND, OR 97214-4434
(971) 275-6106
(971) 200-2669
Mailing address
4031 SE SALMON ST, PORTLAND, OR 97214-4434
(971) 275-6106
(971) 200-2669
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
DEM-LD-10141148
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500641063
—
OR
Enumeration date
06/24/2013
Last updated
06/24/2013
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