Jessica West Vining, CPM, LDM
Midwife in Portland, OR. Individual provider (NPI-1).
NPI number1154852226
StatusActive
Last updated in NPPESNov 4, 2021
Details
- NPI
- 1154852226
- Entity type
- Individual (NPI-1)
- Name
- Jessica West Vining
- Credential
- CPM, LDM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2017
- Certification date
- Nov 4, 2021
- Last updated
- Nov 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | 10195563 | OR | Yes |
Practice location
10566 Se Washington StPortland, OR 97216-2809
Phone 503-855-1220
Mailing address
3262 Mayfield Pl NKeizer, OR 97303-6034
Phone 405-596-7326
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All 84 Midwife providers in Portland · All 48,847 providers in Portland
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