Individual
MAKENZY LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BIRTH DOULA
Contact information
Practice address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 267-3129
Mailing address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 267-3129
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
113363
OR
374J00000X
Doula
Primary
113363
OR
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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