Tatjana Bleu Agudelo, DOULA, PSS
Individual provider Active NPI Doula · Eugene, OR
NPI 1700534906 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1700534906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 985 Lewis Ave Apt 9
Eugene, OR 97402-4293 - Phone
- (541) 505-1139
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daisy C.H.a.I.N. Creating Healthy Alliances in New-Mothering | Doula | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes | ||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
985 Lewis Ave Apt 9
Eugene, OR 97402-4293
Mailing address
PO Box 10375
Eugene, OR 97440-2375
Phone (541) 550-0073
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. 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.