Individual
NICOLE ALYCE BENDOTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDM
Contact information
Practice address
4228 SE 74TH AVE, PORTLAND, OR 97206-3416
(503) 294-3896
(888) 972-7341
Mailing address
4228 SE 74TH AVE, PORTLAND, OR 97206-3416
(503) 294-3896
(888) 972-7341
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10160044
OR
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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