Provider Demographics
NPI:1962138016
Name:RUABORO, ZOE (IBCLC, DOULA)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:RUABORO
Suffix:
Gender:F
Credentials:IBCLC, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 27TH ST SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-7088
Mailing Address - Country:US
Mailing Address - Phone:808-989-6335
Mailing Address - Fax:
Practice Address - Street 1:2206 27TH ST SE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-7088
Practice Address - Country:US
Practice Address - Phone:808-989-6335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula