Organization
YASIINS LUV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TELIA NICOLE ANDERSON CRMII, CD (DONA) (OWNER/CEO)
(503) 998-3946
Entity
Organization
Contact information
Practice address
12600 SE STARK ST, PORTLAND, OR 97233-1058
(971) 990-9326
Mailing address
12600 SE STARK ST, PORTLAND, OR 97233-1058
(971) 990-9326
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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