Individual
AMANDA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD,PCD( DONA)
Contact information
Practice address
2233 VILLARD ST APT 203, ASHLAND, OR 97520
(541) 816-0866
Mailing address
2233 VILLARD ST APT 203, ASHLAND, OR 97520-1440
(541) 816-0866
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
11349
OR
Other
Enumeration date
12/04/2015
Last updated
07/21/2022
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