Individual
HEIDI LYNN DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 CAPITOL ST NE, SALEM, OR 97301-7845
(503) 798-3643
Mailing address
4050 FURLONG AVE SE, ALBANY, OR 97322-4910
(503) 798-3643
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
104888
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104888
—
OR
Enumeration date
04/27/2021
Last updated
04/27/2021
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