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1548504566
AMY JO RIST
PORTLAND, OR
NPI
1548504566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: OR 10151742)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- AMY JO RIST CPM, LDM
2928 SE HAWTHORNE BLVD STE 107
PORTLAND, OR 97214-4147
Phone number: 503-652-8076
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Mailing Address
-- AMY JO RIST CPM, LDM
4110 SE HAWTHORNE BLVD # 267
PORTLAND, OR 97214-5246
Phone number: 503-652-8076
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