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1871569962
MARY R LIEDEL
PORTLAND, OR
NPI
1871569962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OR 000034705)
Enumeration Date
2006-02-27
Last Update Date
2011-02-23
Business Address
-- MARY R LIEDEL CNM
2800 N VANCOUVER AVE SUITE 255
PORTLAND, OR 97227-1630
Phone number: 503-413-4500
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Mailing Address
-- MARY R LIEDEL CNM
2800 N VANCOUVER AVE SUITE 255
PORTLAND, OR 97227-1630
Phone number: 503-413-4500
Copy
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