Individual
AMANDA MARIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM LDM
Contact information
Practice address
333 NE RUSSELL ST, PORTLAND, OR 97212-3762
(503) 803-6192
Mailing address
333 NE RUSSELL ST, PORTLAND, OR 97212-3762
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM23030194
OR
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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