Erin Kaleena Fortuna
Individual provider Active NPI Doula · Molalla, OR
NPI 1225599871 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1225599871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 872 W Main St Apt S164
Molalla, OR 97038-9005 - Phone
- (818) 736-2292
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
872 W Main St Apt S164
Molalla, OR 97038-9005
Mailing address
872 W Main St Apt S164
Molalla, OR 97038-9005
Phone (818) 736-2292
Other providers in Molalla, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. 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.