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Individual

JANE ELIZABETH ADKINS NATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
19250 SW 65TH AVE, SUITE 300, TUALATIN, OR 97062-7452
(503) 692-1242
(503) 691-3615
Mailing address
7650 SW BEVELAND RD, SUITE 200, PORTLAND, OR 97223-8692

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201604598NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500711761
OR
01
R190936
MEDICARE PTAN
OR
Enumeration date
07/27/2016
Last updated
12/28/2016
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