Individual
MS. ONDRA RAE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
19295 SW HENNIG ST, ALOHA, OR 97006-2412
(503) 350-2371
Mailing address
19295 SW HENNIG ST, ALOHA, OR 97006-2412
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10132453
OR
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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