Provider Demographics
NPI:1093591125
Name:MARALL, HEATHER CHRISTEEN (DOULA)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:CHRISTEEN
Last Name:MARALL
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 NW MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLAMINA
Mailing Address - State:OR
Mailing Address - Zip Code:97396-2404
Mailing Address - Country:US
Mailing Address - Phone:503-577-1514
Mailing Address - Fax:
Practice Address - Street 1:502 NW MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLAMINA
Practice Address - State:OR
Practice Address - Zip Code:97396-2404
Practice Address - Country:US
Practice Address - Phone:503-577-1514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula