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1376510149
SHARON GLASS JONQUIL
PORTLAND, OR
NPI
1376510149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OR 089000405N5)
Enumeration Date
2006-03-01
Last Update Date
2008-10-09
Business Address
-- SHARON GLASS JONQUIL CNM
2800 N VANCOUVER AVE LEGACY MIDWIFERY CLINIC, STE 255
PORTLAND, OR 97227-1671
Phone number: 503-413-4500
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Mailing Address
-- SHARON GLASS JONQUIL CNM
2242 NE 11TH AVE
PORTLAND, OR 97212-4030
Phone number: 503-282-7651
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