Individual
MRS. MARY GRACE SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
18300 FOBERT RD NE, HUBBARD, OR 97032-9772
(971) 338-3619
(503) 980-7929
Mailing address
18300 FOBERT RD NE, HUBBARD, OR 97032-9772
(971) 338-3619
(503) 980-7929
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200950056NP NMNP-PP
OR
Other
Enumeration date
03/23/2012
Last updated
07/23/2021
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