Provider Demographics
NPI:1144597642
Name:WALLING, LINDA (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:WALLING
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2974 INGALLS WAY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-6304
Mailing Address - Country:US
Mailing Address - Phone:541-554-5879
Mailing Address - Fax:
Practice Address - Street 1:2974 INGALLS WAY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-6304
Practice Address - Country:US
Practice Address - Phone:541-554-5879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula