Organization
RENAISSANCE CHILDBIRTH AND POSTPARTUM PROFESSIONALS LLC
Active
Other names
Renaissance Doulas LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA LYNN MATTESON CD(DONA), PCD(DONA) (MEMBER/DOULA)
(503) 493-7390
Entity
Organization
Contact information
Practice address
4311 NE ALBERTA ST, PORTLAND, OR 97218-1519
(503) 493-7390
Mailing address
4311 NE ALBERTA ST, PORTLAND, OR 97218-1519
(503) 493-7390
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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