Individual
ALICIA MARIE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 N WYGANT ST APT B, PORTLAND, OR 97217-2863
(503) 349-6113
Mailing address
23 N WYGANT ST APT B, PORTLAND, OR 97217-2863
(503) 349-6113
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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