Provider Demographics
NPI:1659939825
Name:MULDROW, CAMILLA (CPPD, CD)
Entity Type:Individual
Prefix:
First Name:CAMILLA
Middle Name:
Last Name:MULDROW
Suffix:
Gender:F
Credentials:CPPD, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3141 SW CHAMPLAIN DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-5877
Mailing Address - Country:US
Mailing Address - Phone:513-226-0766
Mailing Address - Fax:
Practice Address - Street 1:3141 SW CHAMPLAIN DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-5877
Practice Address - Country:US
Practice Address - Phone:513-226-0766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula