Sasha Vanessa Gagner
Individual provider Active NPI Doula · Roy, WA
NPI 1366112559 · NPPES record last updated Sep 17, 2021
Key facts
- NPI
- 1366112559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 35315 76TH Avenue CT S
Roy, WA 98580-8225 - Phone
- (530) 710-5520
- NPI assigned
- Sep 17, 2021
- 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 |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
35315 76TH Avenue CT S
Roy, WA 98580-8225
Mailing address
35315 76TH Avenue CT S
Roy, WA 98580-8225
Other providers in Roy, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2021. 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.