Individual
PRUDENCE N LEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7717 SE 42ND AVE, PORTLAND, OR 97206-8411
(503) 504-6952
Mailing address
7717 SE 42ND AVE, PORTLAND, OR 97206-8411
(503) 504-6952
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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