Individual
CAYLAN ROSE WAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
36645 GORE DR, LEBANON, OR 97355-9603
(541) 223-3237
Mailing address
36645 GORE DR, LEBANON, OR 97355-9603
(541) 223-3237
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000003569
OR
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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