Individual
SHARON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
6035 SE CLINTON ST, PORTLAND, OR 97206-1337
(503) 652-8076
Mailing address
6035 SE CLINTON ST, PORTLAND, OR 97206-1337
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10171447
OR
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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