Individual
EVA MARIE HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, THW
Contact information
Practice address
345 NE KINGWOOD ST, MCMINNVILLE, OR 97128-9029
(503) 863-7041
Mailing address
345 NE KINGWOOD ST, MCMINNVILLE, OR 97128-9029
(503) 863-7041
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000104441
OREGON HEALTH AUTHORITY
OR
Enumeration date
09/29/2021
Last updated
09/29/2021
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