Individual
FATMATA A MOMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 NE 106TH AVE, PORTLAND, OR 97220-3931
(503) 473-3089
Mailing address
1180 NE 106TH AVE, PORTLAND, OR 97220-3931
(503) 473-3089
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
112641
OR
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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