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Individual

MS. NICOLE BROOKE MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
177 NE 102ND AVE, # V, PORTLAND, OR 97220-4169
(503) 734-3800
(503) 734-3808
Mailing address
7650 SW BEVELAND RD, STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201050131NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500669874
OR
Enumeration date
08/02/2011
Last updated
07/23/2021
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