Individual
MICHELLE RAEANN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
3518 NE 152ND AVE, VANCOUVER, WA 98682-7324
(360) 909-7890
Mailing address
3518 NE 152ND AVE, VANCOUVER, WA 98682-7324
(360) 909-7890
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000105641
OREGON HEALTH AUTHORITY
OR
Enumeration date
01/15/2022
Last updated
01/15/2022
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