Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | DEM-LD-10152060 | OR |
NPI | 1013261502 |
---|---|
Provider Name | Tzipora Kirschner |
First Address | Portland, OR 97220-5357 |
Second Address | Portland, OR 97220-5357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2012 |
Last Update Date | 05/11/2012 |