Individual
MICHELE K BOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
917 11TH ST, SUITE 200, HOOD RIVER, OR 97031-1578
(541) 387-8940
(541) 387-8908
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
084055791N5
OR
367A00000X
Advanced Practice Midwife
084055791N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069997
—
OR
Enumeration date
04/27/2006
Last updated
08/31/2012
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