Individual
MARY E FRISVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4400 NE HALSEY ST STE 285, PORTLAND, OR 97213-1545
(503) 215-6262
Mailing address
4400 NE HALSEY ST STE 285, PORTLAND, OR 97213-1545
(503) 215-6262
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201803506NP-PP
OR
Other
Enumeration date
06/20/2019
Last updated
03/18/2026
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