Individual
JESSICA EDEN GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 NE FREMONT DR, PORTLAND, OR 97220-5340
(503) 860-7886
Mailing address
2655 NE FREMONT DR, PORTLAND, OR 97220-5340
(503) 860-7886
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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