Telia Nicole Anderson-Grant, NON CREDENTIAL

NPI #1952440364 in Portland, Oregon

Provider Information

NPI Number: 1952440364
Entity Type: Individual
Name: Telia Nicole Anderson-Grant, NON CREDENTIAL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Credential: NON CREDENTIAL
Enumeration Date: Feb 5, 2007
Last Updated: Jul 12, 2023

Practice Location

Address: 12600 SE STARK ST
City: Portland
State: Oregon
ZIP Code: 97233-1058
Phone: (503) 477-8208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Doula	374J00000X	Primary

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