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Individual

DIYA FATARA CRAFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
THW DOULA

Contact information

Practice address
3930 NW WITHAM HILL DR APT 24, CORVALLIS, OR 97330-0903
(541) 243-5929
Mailing address
5441 S MACADAM AVE # 5774, PORTLAND, OR 97239-6106
(541) 243-5929

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
116269
OR

Other

Enumeration date
03/12/2026
Last updated
03/12/2026
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