Provider Demographics
NPI:1316729593
Name:RAMIREZ CISNEROS, CLAUDIA G (DOULA)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:G
Last Name:RAMIREZ CISNEROS
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 1:1440 NE 223RD AVE UNIT 78
Mailing Address - Street 2:
Mailing Address - City:WOOD VILLAGE
Mailing Address - State:OR
Mailing Address - Zip Code:97060-2629
Mailing Address - Country:US
Mailing Address - Phone:503-442-5844
Mailing Address - Fax:
Practice Address - Street 1:1440 NE 223RD AVE UNIT 78
Practice Address - Street 2:
Practice Address - City:WOOD VILLAGE
Practice Address - State:OR
Practice Address - Zip Code:97060-2629
Practice Address - Country:US
Practice Address - Phone:503-442-5844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
OR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula