Provider Demographics
NPI:1861115990
Name:DOULA ORANGE
Entity type:Organization
Organization Name:DOULA ORANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DOULA
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-ECHERD
Authorized Official - Suffix:
Authorized Official - Credentials:CD
Authorized Official - Phone:503-464-6911
Mailing Address - Street 1:PO BOX 471
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-8907
Mailing Address - Country:US
Mailing Address - Phone:503-464-6911
Mailing Address - Fax:503-493-7194
Practice Address - Street 1:11316 SW 62ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-6780
Practice Address - Country:US
Practice Address - Phone:503-464-6911
Practice Address - Fax:503-493-7194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500685685Medicaid