Provider Demographics
NPI:1588469928
Name:ARNOLD, ZOE SHALOM
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:SHALOM
Last Name:ARNOLD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14655 SW 76TH AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7927
Mailing Address - Country:US
Mailing Address - Phone:251-591-5311
Mailing Address - Fax:
Practice Address - Street 1:14655 SW 76TH AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-7927
Practice Address - Country:US
Practice Address - Phone:251-591-5311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR113362374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula