Individual
LETICIA KIMBERLY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
611 NE STAFFORD ST, PORTLAND, OR 97211-3573
(706) 254-8916
Mailing address
611 NE STAFFORD ST, PORTLAND, OR 97211-3573
(706) 254-8916
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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