Individual
DR. MARIAH ROSE WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, DNP
Contact information
Practice address
1406 MARINE DR, ASTORIA, OR 97103-3808
(503) 468-0650
Mailing address
5340 SE MILWAUKIE AVE APT 5, PORTLAND, OR 97202-4800
(808) 936-6320
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
201902782RN
OR
367A00000X
Advanced Practice Midwife
Primary
CNM07986
—
Other
Enumeration date
03/11/2020
Last updated
08/24/2022
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