Individual
MISS MARIVEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 NW WALLACE RD, MCMINNVILLE, OR 97128-5344
(503) 708-4086
Mailing address
730 NW WALLACE RD, MCMINNVILLE, OR 97128-5344
(503) 708-4086
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000111709
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW000111709
—
OR
Enumeration date
08/15/2024
Last updated
08/15/2024
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