Provider Demographics
NPI:1699071977
Name:DOWNER, KRISTEN MARIE (CPM, LDM)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:MARIE
Last Name:DOWNER
Suffix:
Gender:F
Credentials:CPM, LDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11625 NW THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-3733
Mailing Address - Country:US
Mailing Address - Phone:512-552-2943
Mailing Address - Fax:503-926-9210
Practice Address - Street 1:11625 NW THOMPSON RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-3733
Practice Address - Country:US
Practice Address - Phone:512-552-2943
Practice Address - Fax:503-926-9210
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2015-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD-10160068176B00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula