Individual
MRS. JILL RENEE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
5068 SUMMERFIELD DR SE, SALEM, OR 97306-1706
(503) 999-3253
Mailing address
5068 SUMMERFIELD DR SE, SALEM, OR 97306-1706
(503) 999-3253
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000104104
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW000104104
—
OR
Enumeration date
07/31/2020
Last updated
05/17/2023
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