Individual
MELISSA GORDON-MAGNUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 233-3001
Mailing address
1608 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 233-3001
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
OR
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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