Provider Demographics
NPI:1821876186
Name:STOTT, SOFIA LUZ
Entity Type:Individual
Prefix:
First Name:SOFIA
Middle Name:LUZ
Last Name:STOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 E MAIN ST APT 3
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1861
Mailing Address - Country:US
Mailing Address - Phone:503-688-0542
Mailing Address - Fax:
Practice Address - Street 1:374 E MAIN ST APT 3
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1861
Practice Address - Country:US
Practice Address - Phone:503-688-0542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula