Individual
MARISSA ALEXANDRA GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW DOULA
Contact information
Practice address
520 NW 4TH ST, CORVALLIS, OR 97330-6411
(541) 908-6919
Mailing address
PO BOX 75, CORVALLIS, OR 97339-0075
(541) 908-6919
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000108581
OR
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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