Individual
STACEY N MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD (DONA)
Contact information
Practice address
1409 NE SARATOGA ST, PORTLAND, OR 97211-4773
(323) 401-1636
Mailing address
1409 NE SARATOGA ST, PORTLAND, OR 97211-4773
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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