Grace, Terresa Diane

Grace, Terresa Diane is an sole proprietor health care provider with primary practice located at 18470 Sw Boones Ferry Rd Apt L206 , Portland OR 97224-7092. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Grace, Terresa Diane can be contacted via phone (150) 368-6909.

Contact Information

Primary practice address
18470 Sw Boones Ferry Rd Apt L206 Portland OR 97224-7092
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X THW000108926 Oregon
Other Service Providers / Midwife 176B00000X MID-120 Idaho

Profile Details

NPI number 1386300424
LBN Legal business name Grace, Terresa Diane
Credentials CPM, LM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2021
Last updated Dec 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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