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Individual

ANGELA CHRISTINE TRUBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LDM

Contact information

Practice address
4031 SE SALMON ST, PORTLAND, OR 97214-4434
(971) 275-6106
Mailing address
4031 SE SALMON ST, PORTLAND, OR 97214-4434
(971) 275-6106

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10141448
OR
176B00000X
Midwife
MW60804965
WA

Other

Enumeration date
04/06/2011
Last updated
03/31/2022
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