Individual
TRICIA DAWN HAFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 779-5147
Mailing address
1388 WILSHIRE DR, STAYTON, OR 97383-9591
(035) 779-5147
(503) 868-7286
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000105249
OR
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000105249
THW
OR
Enumeration date
04/28/2023
Last updated
03/07/2025
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