Organization Active NPI

Renaissance Childbirth and Postpartum Professionals LLC

  • Doula
  • Portland, OR
National Provider Identifier
1194050591
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
RENAISSANCE CHILDBIRTH AND POSTPARTUM PROFESSIONALS LLC
Doing business as
Renaissance Doulas LLC
Practice address
4311 NE Alberta St
Portland, OR 97218-1519
Phone
(503) 493-7390
NPI assigned
Oct 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Mrs. Erica Lynn Matteson, CD(DONA), PCD(DONA)
Title
Member/Doula
Phone
(503) 493-7390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

4311 NE Alberta St
Portland, OR 97218-1519

Mailing address

4311 NE Alberta St
Portland, OR 97218-1519
Phone (503) 493-7390

Other names 1

  • Renaissance Doulas LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1194050591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 NE ALBERTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181519",
            "telephone_number": "503-493-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 NE ALBERTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181519",
            "telephone_number": "503-493-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CHILDBIRTH AND POSTPARTUM PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "MATTESON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER/DOULA",
        "authorized_official_telephone_number": "503-493-7390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CD(DONA), PCD(DONA)"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Doulas LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.