Individual
STEPHANIE KAYE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2541 N TERRY ST, PORTLAND, OR 97217-6257
(615) 429-6850
Mailing address
2541 N TERRY ST, PORTLAND, OR 97217-6257
(615) 429-6850
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/25/2018
Last updated
11/25/2018
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