Provider Demographics
NPI:1427641174
Name:THOMAS, SOLEIL VICTORIA
Entity type:Individual
Prefix:
First Name:SOLEIL
Middle Name:VICTORIA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1956 S 2ND ST APT F225
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-2582
Mailing Address - Country:US
Mailing Address - Phone:541-974-4939
Mailing Address - Fax:
Practice Address - Street 1:1956 S 2ND ST APT F225
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-2582
Practice Address - Country:US
Practice Address - Phone:541-974-4939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-13
Last Update Date:2021-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula