Individual
LATASHA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 N MISSISSIPPI AVE # L37, PORTLAND, OR 97227-2065
(971) 425-5210
Mailing address
3309 N MISSISSIPPI AVE # L37, PORTLAND, OR 97227-2065
(971) 425-5210
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
OR
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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