Individual
ERIN KALEENA FORTUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
872 W MAIN ST APT S164, MOLALLA, OR 97038-9005
(818) 736-2292
Mailing address
872 W MAIN ST APT S164, MOLALLA, OR 97038-9005
(818) 736-2292
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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