Individual
MEGAN MICKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW DOULA
Contact information
Practice address
710 GRACIES WAY, WHITE CITY, OR 97503-3040
(541) 951-4072
Mailing address
710 GRACIES WAY, WHITE CITY, OR 97503-3040
(541) 951-4072
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
105416
OR
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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