Individual
JENNIFER LEIGH CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6404 SE ASH ST, UNIT B, PORTLAND, OR 97215-1681
(858) 437-4862
Mailing address
6404 SE ASH ST, UNIT B, PORTLAND, OR 97215-1681
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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