Individual
STEPHANIE EDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
5203 NE 32ND PL, PORTLAND, OR 97211-6915
(503) 929-2006
Mailing address
5203 NE 32ND PL, PORTLAND, OR 97211-6915
(503) 929-2006
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
10574
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10574
DONA
OR
Enumeration date
06/30/2014
Last updated
06/30/2014
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