Individual
AMANDA RAE MAITLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W STEWART AVE STE 101, MEDFORD, OR 97501-3609
(541) 690-3500
Mailing address
7155 E 38TH AVE, DENVER, CO 80207-1630
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN.1000162-CNM
CO
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000241376
—
CO
Enumeration date
02/13/2018
Last updated
05/29/2026
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