Izneida Berenise Acosta Corrales
Individual provider Active NPI Doula · Salem, OR
NPI 1134090970 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1134090970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 3005 Brown Rd NE
Salem, OR 97305-2714 - Phone
- (503) 569-7124
- NPI assigned
- Sep 15, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
3005 Brown Rd NE
Salem, OR 97305-2714
Mailing address
3005 Brown Rd NE
Salem, OR 97305-2714
Phone (503) 569-7124
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.