Provider Demographics
NPI:1861101875
Name:RICHWINE, ELAINE RACHELLE (BIRTH DOULA)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:RACHELLE
Last Name:RICHWINE
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15773 SE RUBY DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-3703
Mailing Address - Country:US
Mailing Address - Phone:503-740-6791
Mailing Address - Fax:
Practice Address - Street 1:15773 SE RUBY DR
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267-3703
Practice Address - Country:US
Practice Address - Phone:503-740-6791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000107802374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula