Active NPI
Maura Maura Jansen, CPM, LDM
- Midwife
- Portland, OR
National Provider Identifier
1366935306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- DEMLD10191443
- Practice address
- 7911 SE Stark St
Portland, OR 97215-2341 - Phone
- (503) 575-8596
- Fax
- (503) 334-4112
- NPI assigned
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | DEMLD10191443 | OR | Primary |
Addresses
Primary practice location
7911 SE Stark St
Portland, OR 97215-2341
Mailing address
2124 SE Oak St
Portland, OR 97214-1607
Phone (503) 575-8596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEMLD10191443 | OR | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1366935306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 SE OAK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141607",
"telephone_number": "503-575-8596",
"fax_number": "503-334-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7911 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152341",
"telephone_number": "503-575-8596",
"fax_number": "503-334-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSEN",
"first_name": "MAURA",
"middle_name": "MAURA",
"credential": "CPM, LDM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OR",
"license": "DEMLD10191443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.