Individual
JOSIE BLAKENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 NW UNIVERSITY PL APT 6, CORVALLIS, OR 97330-6608
(662) 541-2674
Mailing address
4560 NW UNIVERSITY PL APT 6, CORVALLIS, OR 97330-6608
(662) 541-2674
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000004264
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW000004264
—
OR
Enumeration date
04/29/2020
Last updated
04/29/2020
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