Individual
TICAL LALELIA YVETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 SW 13TH AVE APT 1904, PORTLAND, OR 97205-2373
(503) 737-7627
Mailing address
430 SW 13TH AVE APT 1904, PORTLAND, OR 97205-2373
(503) 737-7627
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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