Individual
SARA F BALDAUF-WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
334
CT
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
201050221NP
OR
367A00000X
Advanced Practice Midwife
AP60206371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598996811
—
WA
05
—
500631551
—
OR
Enumeration date
08/04/2009
Last updated
03/07/2022
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