Provider Demographics
NPI:1467263947
Name:GARCIA-HALLMAN, JESSICA EVELYN (BIRTH/PP DOULA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:EVELYN
Last Name:GARCIA-HALLMAN
Suffix:
Gender:F
Credentials:BIRTH/PP DOULA
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 645
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:OR
Mailing Address - Zip Code:97415-0003
Mailing Address - Country:US
Mailing Address - Phone:541-251-8677
Mailing Address - Fax:
Practice Address - Street 1:601 CHETCO AVE STE 3
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:OR
Practice Address - Zip Code:97415-8010
Practice Address - Country:US
Practice Address - Phone:541-251-8677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula