LISA J CHICKADONZ

PORTLAND, OR
NPI1285795005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: OR  082009965N5)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- LISA J CHICKADONZ CNM
2705 E BURNSIDE ST SUITE 114
PORTLAND, OR 97214-1763
Phone number: 503-215-6262
Mailing Address
-- LISA J CHICKADONZ CNM
PO BOX 3178
PORTLAND, OR 97208-3178
Phone number:
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