Individual
TALLINA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 NW NAITO PKWY APT 113, PORTLAND, OR 97209-4763
(503) 307-5856
Mailing address
901 NW NAITO PKWY APT 113, PORTLAND, OR 97209-4763
(503) 307-5856
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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