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1841775434
LUCILLE ROSE GLICK
PORTLAND, OR
NPI
1841775434
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Former Name
LUCILLE ROSE TOWER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OR 201808695NP-PP)
Enumeration Date
2018-09-28
Last Update Date
2020-05-11
Business Address
LUCILLE ROSE GLICK MSN
3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-1112
Phone number: 503-788-7273
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Mailing Address
LUCILLE ROSE GLICK MSN
PO BOX 2927
PORTLAND, OR 97208-2927
Phone number: 503-788-7273
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