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1215308796
ELIZABETH SUSAN GARY
PORTLAND, OR
NPI
1215308796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OR 202212279NP-PP)
Enumeration Date
2015-10-09
Last Update Date
2023-03-14
Business Address
ELIZABETH SUSAN GARY CNM
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-4500
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Mailing Address
ELIZABETH SUSAN GARY CNM
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-4500
Copy
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