Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | MD167926 | OR |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD60757723 | WA |
NPI | 1093004541 |
---|---|
Provider Name | Ladawna Gievers |
First Address | Portland, OR 97239-2901 |
Second Address | Portland, OR 97239-2901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 10/01/2022 |