Healthcare Provider Details

I. General information

NPI: 1558296541
Provider Name (Legal Business Name): BIRTH & BEYOND MATERNAL SUPPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6368 KENTUCKY DR
CENTRAL POINT OR
97502-9710
US

IV. Provider business mailing address

6368 KENTUCKY DR
CENTRAL POINT OR
97502-9710
US

V. Phone/Fax

Practice location:
  • Phone: 541-224-6528
  • Fax:
Mailing address:
  • Phone: 541-224-6528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROCHELLE BRETT
Title or Position: OWNER
Credential: CD, PCD(DONA)
Phone: 541-973-3214