Individual
HANNAH BOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
340 NW 5TH ST, REDMOND, OR 97756-1869
(541) 526-6635
(541) 526-6636
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 706-5920
(541) 706-5925
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201404953NP-PP
OR
367A00000X
Advanced Practice Midwife
AP60306575
WA
Other
Enumeration date
10/08/2012
Last updated
04/19/2021
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