Individual
EMILY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
615 SE 1ST AVE, CANBY, OR 97013-3809
(503) 263-1212
Mailing address
629 BURGHARDT DR, MOLALLA, OR 97038-7588
(503) 351-5601
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM24120632
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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