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Individual

CATHERINE F PELOSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
9555 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6663
(503) 292-3577
(503) 292-3947
Mailing address
7650 SW BEVELAND RD, SUITE 200, PORTLAND, OR 97223-8692
(503) 292-3577
(503) 292-3947

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
077037797N5
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004221
OR
01
R158566
MEDICARE PTAN
OR
Enumeration date
11/07/2005
Last updated
06/23/2016
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