Provider Demographics
NPI:1992064083
Name:WATSON, CARA J (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:J
Last Name:WATSON
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1944 HAZEL AVE NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-0909
Mailing Address - Country:US
Mailing Address - Phone:503-871-9472
Mailing Address - Fax:
Practice Address - Street 1:1944 HAZEL AVE NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-0909
Practice Address - Country:US
Practice Address - Phone:503-871-9472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula