PDX Doulas

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

PDX DOULAS

Practice address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Phone

(877) 739-6478

NPI assigned

Jan 15, 2018

Last updated

Jan 15, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelly Marie Overly, CD(DONA)NPI 1265956320

Title

Administrative Director

Phone

(206) 218-3573

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly M Overly

  • Doula
  • Portland, OR
  • NPI 1265956320
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1023526878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 NE 48TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182051",
            "telephone_number": "206-218-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "877-739-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDX DOULAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "OVERLY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "206-218-3573",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CD(DONA)"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Pazos Lopez, MD
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• Alexandra Pchenitchnikova, DC
• PDX Acupuncture Inc.
• PDX Bodyworks Physical Therapy
• PDX Elite Care Inc
• PDX ENT and Audiology Medical Group PC
• PDX Eye and Vision Care LLC (Fremont Family Vision)
• PDX Healing Massage Inc.
• PDX Health, LLC (Discover Recovery)

• Voluntary or Charitable Agency in Portland, OR
• Providers in Portland, OR by specialty
• Voluntary or Charitable Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.