Individual
CARLY INGA ITAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
6694 SE VERNELDA ST, MILWAUKIE, OR 97267-3271
(503) 954-6318
Mailing address
6694 SE VERNELDA ST, MILWAUKIE, OR 97267-3271
(503) 954-6318
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
OR
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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