Organization
BIG MAMA DOULAS - GRANDMANEM STYLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LETISHA MCCOY (EXECUTIVE DIRECTOR)
(971) 488-8076
Entity
Organization
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1122
Mailing address
1087 SW DOTTIE CT, TROUTDALE, OR 97060-1215
(971) 512-6022
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/13/2026
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