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1790885515
MARY LOUISE SMITH
BEAVERTON, OR
NPI
1790885515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: OR DEM-LD-250740)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
MARY LOUISE SMITH C.P.M., L.D.M.
7679 SW BAYBERRY DR
BEAVERTON, OR 97007-5504
Phone number: 503-848-6883
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Mailing Address
MARY LOUISE SMITH C.P.M., L.D.M.
7679 SW BAYBERRY DR
BEAVERTON, OR 97007-5504
Phone number: 503-848-6883
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