Individual
CASSIDY MIKPONHOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14024 E BURNSIDE ST, PORTLAND, OR 97233-2132
(706) 341-7471
Mailing address
14024 E BURNSIDE ST, PORTLAND, OR 97233-2132
(706) 341-7471
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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