Provider Demographics
NPI:1942612353
Name:LOBITZ, HEATHER (CD(DONA))
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:LOBITZ
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 83407
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97283-0407
Mailing Address - Country:US
Mailing Address - Phone:971-226-4061
Mailing Address - Fax:
Practice Address - Street 1:9008 N SAINT JOHNS AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-1563
Practice Address - Country:US
Practice Address - Phone:971-226-4061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula