Individual
JULIE BENNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 N VANCOUVER AVE STE 255, PORTLAND, OR 97227-1671
(503) 891-7481
(503) 413-3710
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
08/29/2019
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