MEDICARE: MS. SILKE AKERSON L.D.M, C.P.M.

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
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1902110760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SILKE AKERSON L.D.M, C.P.M.

Provider Business Mailing Address
First Line	:	5623 NE 11TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-4201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1614 NE ALBERTA ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-5048
Country	:	US
Telephone Number	:	503-705-5060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	12/30/2010

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