Individual
LACY SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BIRTH DOULA
Contact information
Practice address
224 SW ELMWOOD AVE, MCMINNVILLE, OR 97128-5912
(971) 237-1747
Mailing address
224 SW ELMWOOD AVE, MCMINNVILLE, OR 97128-5912
(971) 237-1747
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
110918
OR
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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