Organization
PDX DOULAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY MARIE OVERLY CD(DONA) (ADMINISTRATIVE DIRECTOR)
(206) 218-3573
Entity
Organization
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(877) 739-6478
Mailing address
5013 NE 48TH AVE, PORTLAND, OR 97218-2051
(206) 218-3573
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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