Individual
LEILANI RAE FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 CAPITOL ST NE, SALEM, OR 97301-7845
(503) 877-2851
Mailing address
187 OLYMPIC AVE SE, SALEM, OR 97306-1989
(503) 929-1186
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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