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Individual

MAUREEN C ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
5050 NE HOYT ST STE 255, PORTLAND, OR 97213-2982
(503) 215-6085
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
202212404NP-PP
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/01/2021
Last updated
06/18/2023
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