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1821157538
SHAREN ANN BLAKE
CLACKAMAS, OR
NPI
1821157538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OR 083038473N5 NMNP-PP)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Ms. SHAREN ANN BLAKE CNM
KAISER SUNNYSIDE HOSPITAL 10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Phone number: 503-571-4550
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Mailing Address
Ms. SHAREN ANN BLAKE CNM
16454 SE ORMAE RD
MILWAUKIE, OR 97267-5168
Phone number: 503-513-0821
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