Individual
PHELIX BLEU GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 SE 37TH AVE APT 302, PORTLAND, OR 97214-5898
(971) 266-1915
Mailing address
2350 SE 37TH AVE APT 302, PORTLAND, OR 97214-5898
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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