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Individual

MS. JILL A LEANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3531 NE 15TH AVE STE B, PORTLAND, OR 97212-2377
(503) 775-4931
Mailing address
3531 NE 15TH AVE STE B, PORTLAND, OR 97212-2377
(503) 775-4931

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
082009978N5
OR
367A00000X
Advanced Practice Midwife
AP30005535
WA

Other

Enumeration date
09/22/2006
Last updated
02/10/2008
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