Individual
ELIZABETH ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
5524 SE BOISE ST, PORTLAND, OR 97206-3943
(503) 360-2069
Mailing address
5524 SE BOISE ST, PORTLAND, OR 97206-3943
(503) 360-2069
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
—
OR
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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