Individual
LUCILLE ROSE TOWER GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
501 N GRAHAM ST STE 550, PORTLAND, OR 97227-2010
(503) 284-5220
(503) 284-4971
Mailing address
PO BOX 2927, PORTLAND, OR 97208-2927
(503) 788-7273
(503) 788-7285
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201808695NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500756023
—
OR
Enumeration date
09/28/2018
Last updated
05/21/2025
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