Healthcare Provider Details

I. General information

NPI: 1013825298
Provider Name (Legal Business Name): GIOMAR Z VILLALBA AGUILAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14806 SW SCHOLLS FERRY RD APT X302
BEAVERTON OR
97007-9208
US

IV. Provider business mailing address

14806 SW SCHOLLS FERRY RD APT X302
BEAVERTON OR
97007-9208
US

V. Phone/Fax

Practice location:
  • Phone: 503-330-1068
  • Fax:
Mailing address:
  • Phone: 503-330-1068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: