Baldauf-Wilcox, Sara F

Baldauf-Wilcox, Sara F is an individual health care provider with primary practice located at 3727 Ne Martin Luther King Jr Blvd , Portland OR 97212-1112. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Baldauf-Wilcox, Sara F can be contacted via phone (503) 775-4931.

Contact Information

Primary practice address
3727 Ne Martin Luther King Jr Blvd Portland OR 97212-1112
Phone: (503) 775-4931
Fax: (503) 788-7285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 334 Connecticut
Other Service Providers / Midwife 176B00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP60206371 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201050221NP Oregon

Profile Details

NPI number 1598996811
LBN Legal business name Baldauf-Wilcox, Sara F
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2009
Last updated Mar 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598996811 NPPES
Washington MEDICAID 1598996811
Washington MEDICAID 500631551

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