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Individual

CARISSA MARIE ST. ONGE CARNEIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
10101 SE MAIN ST STE 3001, PORTLAND, OR 97216-2458
(503) 261-4423
(503) 261-4424
Mailing address
10101 SE MAIN ST STE 3001, PORTLAND, OR 97216-2458
(503) 261-4423
(503) 261-4424

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201601410NP-PP
OR

Other

Enumeration date
03/07/2016
Last updated
11/04/2022
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