Most Relevant Information
Provider Data
| NPI Number: | 1003385782 |
| Provider Name: | STEPHANIE KAYE SIMMONS |
| Entity Type: | Individual |
| Taxonomy Code: | 374J00000X |
| Specialty: | Doula |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/25/2018 |
| Last Updated: | 11/25/2018 |
Provider Practice Location
2541 N TERRY ST
PORTLAND
OR
972176257
Practice Location Phone/Fax
| Phone: | 6154296850 |
| Fax: |
Provider Mailing Location
2541 N TERRY ST
PORTLAND
OR
972176257
Provider Mailing Phone/Fax
| Phone: | 6154296850 |
| Fax: |