Individual
LORA MORTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4208 BRYCE DR, ANACORTES, WA 98221-3228
(360) 610-0296
Mailing address
4208 BRYCE DR, ANACORTES, WA 98221-3228
(360) 610-0296
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
BD61632524
WA
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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