Provider Demographics
NPI:1912750407
Name:OREGON BLACK DOULA ASSOCIATION
Entity Type:Organization
Organization Name:OREGON BLACK DOULA ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-676-0660
Mailing Address - Street 1:41 NE 127TH AVE APT B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-2100
Mailing Address - Country:US
Mailing Address - Phone:503-990-0105
Mailing Address - Fax:
Practice Address - Street 1:41 NE 127TH AVE APT B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-2100
Practice Address - Country:US
Practice Address - Phone:503-990-0105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty