Provider Demographics
NPI:1376318444
Name:SMART, ANNA QUINN (BIRTH DOULA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:QUINN
Last Name:SMART
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 1:2514 POTTER ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-4166
Mailing Address - Country:US
Mailing Address - Phone:206-713-8448
Mailing Address - Fax:
Practice Address - Street 1:2514 POTTER ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-4166
Practice Address - Country:US
Practice Address - Phone:206-713-8448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula