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Individual

JODY M LINDWALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
19250 SW 65TH AVE STE 300, TUALATIN, OR 97062-7707
(503) 692-1242
(503) 691-3615
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200650100NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
247491
OR
01
R146791
MEDICARE PTAN
OR
Enumeration date
02/09/2006
Last updated
01/30/2026
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