Individual
SARAH RAE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
756 N MARKET ST, LAFAYETTE, OR 97127-2070
(503) 956-6655
Mailing address
PO BOX 102, LAFAYETTE, OR 97127-0102
(503) 956-6655
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000110485
OR
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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