Individual
ELLEN TAPPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BIRTH DOULA
Contact information
Practice address
1454 NW 17TH ST, CORVALLIS, OR 97330-2619
(541) 250-0778
Mailing address
1454 NW 17TH ST, CORVALLIS, OR 97330-2619
(541) 250-0778
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW00000367
—
OR
Enumeration date
07/31/2019
Last updated
07/31/2019
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