Individual
JUSTINE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 4TH ST # 1, ASHLAND, OR 97520-2043
(541) 690-0998
Mailing address
233 4TH ST # 1, ASHLAND, OR 97520-2043
(541) 690-0998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
01/08/2024
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