Individual
AMY SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 SE MADRONA LN, MILWAUKIE, OR 97267-1053
(503) 653-9073
Mailing address
1520 SE MADRONA LN, MILWAUKIE, OR 97267-1053
(503) 653-9073
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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