Individual
AMANDA RAE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
635 SE 41ST AVE, APT 46, PORTLAND, OR 97214-3267
(310) 773-6368
Mailing address
635 SE 41ST AVE, APT 46, PORTLAND, OR 97214-3267
(310) 773-6368
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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