Individual
TANAH ELISABETH CLUNIES-ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
11750 SW BARNES RD STE 300, PORTLAND, OR 97225-5911
(503) 416-9940
(503) 416-9970
Mailing address
11750 SW BARNES RD STE 300, PORTLAND, OR 97225-5911
(503) 416-9940
(503) 416-9970
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201810943
OR
367A00000X
Advanced Practice Midwife
235951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500760167
—
OR
Enumeration date
04/05/2018
Last updated
03/23/2021
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