Charise Anne Blodgett
Individual provider Active NPI Doula · Lebanon, OR
NPI 1568322816 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1568322816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 3461 Hawk Arrow Dr
Lebanon, OR 97355-1870 - Phone
- (541) 231-8384
- NPI assigned
- Nov 17, 2025
- 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
3461 Hawk Arrow Dr
Lebanon, OR 97355-1870
Mailing address
3461 Hawk Arrow Dr
Lebanon, OR 97355-1870
Phone (541) 231-8384
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 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.