Provider Demographics
NPI:1437828514
Name:REED-HOLDEN, CARLDESHA ANN
Entity Type:Individual
Prefix:MS
First Name:CARLDESHA
Middle Name:ANN
Last Name:REED-HOLDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DESHA
Other - Middle Name:
Other - Last Name:REED-HOLDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1709 SW MORRISON ST APT 205
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-1867
Mailing Address - Country:US
Mailing Address - Phone:323-427-4668
Mailing Address - Fax:
Practice Address - Street 1:1709 SW MORRISON ST APT 205
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-1867
Practice Address - Country:US
Practice Address - Phone:323-427-4668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula