Individual
MS. SUSAN PATRICIA VAWTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, CNM
Contact information
Practice address
2705 E BURNSIDE ST, SUITE 114, PORTLAND, OR 97214-1763
(503) 215-6262
(503) 234-5437
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200350066NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298493
—
OR
Enumeration date
03/23/2006
Last updated
03/25/2021
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