Provider Demographics
NPI:1942647334
Name:SPRING, FREDERICA JANE (LMT DOULA)
Entity Type:Individual
Prefix:
First Name:FREDERICA
Middle Name:JANE
Last Name:SPRING
Suffix:
Gender:F
Credentials:LMT DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7225 N GREELEY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-5241
Mailing Address - Country:US
Mailing Address - Phone:319-572-3686
Mailing Address - Fax:
Practice Address - Street 1:7225 N GREELEY AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-5241
Practice Address - Country:US
Practice Address - Phone:319-572-3686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-27
Last Update Date:2013-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist