Individual
LISA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED DOULA
Contact information
Practice address
8360 N INTERSTATE AVE, PORTLAND, OR 97217-6717
(971) 331-0903
(971) 331-0903
Mailing address
8360 N INTERSTATE AVE, PORTLAND, OR 97217-6717
(971) 331-0903
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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