Individual
MARISA ROSE BRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10101 SE MAIN ST STE 3001, PORTLAND, OR 97216-2458
(503) 261-4423
(503) 261-4424
Mailing address
10101 SE MAIN ST STE 3001, PORTLAND, OR 97216-2458
(503) 261-4423
(503) 261-4424
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201502090NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500686751
—
OR
Enumeration date
06/24/2013
Last updated
02/12/2025
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