Individual
RIZIKI MMUHONGELWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 N FESSENDEN ST, PORTLAND, OR 97203-2088
(503) 309-7913
Mailing address
4612 N FESSENDEN ST, PORTLAND, OR 97203-2088
(503) 309-7913
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E0700X0B
—
OR
Enumeration date
04/23/2022
Last updated
04/23/2022
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