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1033845300
JESSAMYN ANN BOTHWELL
HILLSBORO, OR
NPI
1033845300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OR 202004787NP-PP)
Enumeration Date
2022-07-28
Last Update Date
2023-06-18
Business Address
JESSAMYN ANN BOTHWELL CNM
7305 SE CIRCUIT DR STE 260
HILLSBORO, OR 97123-1915
Phone number: 503-342-9928
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Mailing Address
JESSAMYN ANN BOTHWELL CNM
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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