Healthcare Provider Details

I. General information

NPI: 1427857648
Provider Name (Legal Business Name): KORINA ANN BUEHRER CPM
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 ROSE AVE
VERNONIA OR
97064-1132
US

IV. Provider business mailing address

479 ROSE AVE
VERNONIA OR
97064-1132
US

V. Phone/Fax

Practice location:
  • Phone: 503-836-2186
  • Fax: 971-281-2065
Mailing address:
  • Phone: 503-836-2186
  • Fax: 971-281-2065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCPM2503068
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: