Individual
JACQUELINE MEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 SE 34TH AVE, PORTLAND, OR 97214-5711
(503) 758-0899
Mailing address
2021 SE 34TH AVE, PORTLAND, OR 97214-5711
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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