Individual
TESSA SHABRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 SE 41ST AVE APT 20, PORTLAND, OR 97214-3260
(760) 419-6145
Mailing address
605 SE 41ST AVE APT 20, PORTLAND, OR 97214-3260
(760) 419-6145
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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