Organization
MODERN TRADITIONS DOULA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROSE CD,PCD(DONA) (OWNER/DOULA)
(541) 816-0866
Entity
Organization
Contact information
Practice address
2233 VILLARD ST APT 203, ASHLAND, OR 97520
(541) 816-0866
Mailing address
2233 VILLARD ST APT 203, ASHLAND, OR 97520-1440
(541) 816-0866
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
OR
Other
Enumeration date
08/29/2017
Last updated
05/18/2018
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