Provider Demographics
NPI:1669028650
Name:KRIZ, MARGARET A (DOULA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:KRIZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 NW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-2607
Mailing Address - Country:US
Mailing Address - Phone:541-760-2619
Mailing Address - Fax:
Practice Address - Street 1:1410 NW 15TH ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-2607
Practice Address - Country:US
Practice Address - Phone:541-760-2619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula