Modern Traditions Doula

NPI #1891212924 in Ashland, Oregon

Provider Information

NPI Number: 1891212924
Entity Type: Organization
Organization Name: Modern Traditions Doula
Primary Specialty: Doula
Enumeration Date: Aug 29, 2017
Last Updated: May 18, 2018

Practice Location

Address: 2233 VILLARD ST APT 203
City: Ashland
State: Oregon
ZIP Code: 97520
Phone: (541) 816-0866

Authorized Official

Name: AMANDA ROSE, CD,PCD(DONA)
Title: OWNER/DOULA
Phone: (541) 816-0866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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