Individual
TASHANA L MITHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3919 NW 3RD ST, GRESHAM, OR 97030-6216
(541) 401-7290
Mailing address
3919 NW 3RD ST, GRESHAM, OR 97030-6216
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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