Individual
MS. SHAREN ANN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
KAISER SUNNYSIDE HOSPITAL, 10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015
(503) 571-4550
Mailing address
16454 SE ORMAE RD, MILWAUKIE, OR 97267-5168
(503) 513-0821
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
083038473N5 NMNP-PP
OR
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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