Basic Information
Provider Information
NPI: 1710590377
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANK
FirstName: BRITNEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM, WHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7650 SW BEVELAND RD STE 200
Address2:  
City: PORTLAND
State: OR
PostalCode: 972238692
CountryCode: US
TelephoneNumber: 5036013615
FaxNumber: 5036461683
Practice Location
Address1: 1508 DIVISION ST STE 205
Address2:  
City: OREGON CITY
State: OR
PostalCode: 970451585
CountryCode: US
TelephoneNumber: 5036571071
FaxNumber: 5036573321
Other Information
ProviderEnumerationDate: 08/24/2020
LastUpdateDate: 12/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000X  N Other Service ProvidersMidwife 
367A00000X202007478NP-PPORY193400000X SINGLE SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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