Individual
MISS PEGGYSUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 SE KING RD, MILWAUKIE, OR 97222-6581
(503) 954-6250
Mailing address
3445 SE KING RD, MILWAUKIE, OR 97222-6581
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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