Individual
MADELINE O LEAVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 CENTER ST NE, SALEM, OR 97301-4361
(901) 488-0641
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(901) 488-0641
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
111878
OR
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
08/11/2026
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