Jessika Alexandrea Brent, DOULA
Individual provider Active NPI Doula · Sweet Home, OR
NPI 1760194625 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1760194625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 200 Osage St
Sweet Home, OR 97386-1317 - Phone
- (503) 551-0751
- NPI assigned
- Dec 21, 2022
- 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 | OR | Yes |
Addresses
Primary practice location
200 Osage St
Sweet Home, OR 97386-1317
Mailing address
200 Osage St
Sweet Home, OR 97386-1317
Phone (503) 551-0751
Other names
- Jessika Alexandrea Rathbone
Other providers in Sweet Home, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2022. 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.