Individual
ALISSA ZEA MCMAKEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1508 DIVISION ST, STE 205, OREGON CITY, OR 97045-1582
(503) 657-1071
(503) 657-3321
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
200850069NP NMNP
OR
367A00000X
Advanced Practice Midwife
Primary
200850069
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200242145RN
RN LICENSE
OR
01
—
200850069NP NMNP
CNM LICENSE
OR
05
—
279287
—
OR
Enumeration date
07/10/2008
Last updated
12/30/2021
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