Individual
PERI ROSE VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2400 NE NEFF RD STE A, BEND, OR 97701-6752
(541) 389-3300
(541) 389-8115
Mailing address
2124 SW 28TH ST, REDMOND, OR 97756-8078
(541) 647-7377
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
202213045NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202213045NP-PP
OREGON STATE BOARD OF NURSING
OR
05
—
500820093
—
OR
01
—
CNM07819
AMCB
—
Enumeration date
08/25/2022
Last updated
11/03/2023
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