Individual
MIRIAM NEHAMA JAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMNP-PP; CNM
Contact information
Practice address
2800 N VANCOUVER AVE STE 255, PORTLAND, OR 97227-1671
(503) 413-4500
(503) 413-5222
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
201150106NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861771230
—
WA
05
—
500642369
—
OR
Enumeration date
08/16/2011
Last updated
04/24/2026
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