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NPI Code Detail

MEDICARE: TZIPORA KIRSCHNER CPM, DEM

MEDICARE:   TZIPORA  KIRSCHNER  CPM, DEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwifeDEM-LD-10152060OR

General Provider Information

NPI Number : 1013261502
Entity Type Code : Individual
Provider Name (Legal Business Name) : TZIPORA KIRSCHNER CPM, DEM
Provider Business Mailing Address
First Line : 8845 NE RUSSELL ST
Second Line :
City : PORTLAND
State : OR
Zip : 97220-5357
Country : US
Telephone Number : 503-504-7397
Fax Number :
Provider Business Practice Location Address
First Line : 8845 NE RUSSELL ST
Second Line :
City : PORTLAND
State : OR
Zip : 97220-5357
Country : US
Telephone Number : 503-504-7397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2012
Last Update Date : 11/05/2012

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Directions to “ TZIPORA KIRSCHNER CPM, DEM” Practice Location

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