Provider Demographics
NPI:1447584842
Name:ABC DOULA SERVICE INC
Entity Type:Organization
Organization Name:ABC DOULA SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEPLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-752-1691
Mailing Address - Street 1:PO BOX 2732
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-2732
Mailing Address - Country:US
Mailing Address - Phone:503-752-1691
Mailing Address - Fax:503-570-3474
Practice Address - Street 1:30654 SW RUTH ST
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-8658
Practice Address - Country:US
Practice Address - Phone:503-752-1691
Practice Address - Fax:503-570-3474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty