Individual
SAMANTHA ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 W IDA ST, STAYTON, OR 97383-2225
(503) 559-2071
Mailing address
455 W IDA ST, STAYTON, OR 97383-2225
(503) 559-2071
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
08/11/2024
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