Healthcare Provider Details

I. General information

NPI: 1770064560
Provider Name (Legal Business Name): GWENDOLYN M NEUMEISTER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2018
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 SE CIRCUIT DR STE 260
HILLSBORO OR
97129-1966
US

IV. Provider business mailing address

7305 SE CIRCUIT DR STE 260
HILLSBORO OR
97129-1966
US

V. Phone/Fax

Practice location:
  • Phone: 503-342-9928
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number10059444
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number428
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: