Individual
ALICIA ELIZABETH THORNDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
735 MEADOWVALE CT, EUGENE, OR 97401-5364
(458) 201-1986
Mailing address
735 MEADOWVALE CT, EUGENE, OR 97401-5364
(458) 201-1986
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000107409
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW000107409
—
OR
Enumeration date
10/13/2022
Last updated
08/01/2023
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