Gladys Hasel Alvarado Martinez

Individual provider Active NPI Doula · Portland, OR

NPI 1285338145 · NPPES record last updated Mar 27, 2023

Key facts

NPI
1285338145
Entity type
Individual (NPI type 1)
Primary specialty
Doula 374J00000X
Practice address
14622 SE Main St
Portland, OR 97233-2647
Phone
(503) 308-0868
NPI assigned
Mar 27, 2023
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)CodeLicenseStatePrimary
Doula 374J00000X OR Yes

Addresses

Primary practice location

14622 SE Main St
Portland, OR 97233-2647

Mailing address

14622 SE Main St
Portland, OR 97233-2647
Phone (503) 308-0868

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2023.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1285338145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14622 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332647",
            "telephone_number": "503-308-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14622 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332647",
            "telephone_number": "503-308-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO MARTINEZ",
        "first_name": "GLADYS",
        "middle_name": "HASEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

All providers in Portland, OR · Doula in Oregon

Sources for this page

Verify at the official NPI Registry.