Provider Demographics
NPI:1952076465
Name:FIRSTENFELD, ALEXANDRIA (THW DOULA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:FIRSTENFELD
Suffix:
Gender:F
Credentials:THW DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 SPRINGHILL DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-1743
Mailing Address - Country:US
Mailing Address - Phone:707-772-6251
Mailing Address - Fax:
Practice Address - Street 1:840 SPRINGHILL DR NW
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-1743
Practice Address - Country:US
Practice Address - Phone:707-772-6251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000104981374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula