Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | DEM-LD-10186015 | OR |
NPI | 1093225575 |
---|---|
Provider Name | Charli Jo Zarosinski |
First Address | Portland, OR 97211-4619 |
Second Address | Portland, OR 97211-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2017 |
Last Update Date | 10/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17070014 | THE NORTH AMERICAN REGISTRY OF MIDWIVES (01) | |
DEM-LD-10186015 | OREGON HEALTH LICENSING (01) | OR |