Provider Demographics
NPI:1154001279
Name:DEWITT, LINDSEY ELLICE (DOULA)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ELLICE
Last Name:DEWITT
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14974 SE CARUTHERS CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-3019
Mailing Address - Country:US
Mailing Address - Phone:503-720-7645
Mailing Address - Fax:
Practice Address - Street 1:14974 SE CARUTHERS CT
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-3019
Practice Address - Country:US
Practice Address - Phone:503-720-7645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula