Healthcare Provider Details

I. General information

NPI: 1881501013
Provider Name (Legal Business Name): PEG KRIZ, LMT AND BIRTH DOULA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 NW 15TH ST
CORVALLIS OR
97330-2607
US

IV. Provider business mailing address

1410 NW 15TH ST
CORVALLIS OR
97330-2607
US

V. Phone/Fax

Practice location:
  • Phone: 541-760-2619
  • Fax:
Mailing address:
  • Phone: 541-760-2619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARGARET KRIZ
Title or Position: OWNER/PROVIDER
Credential: THW
Phone: 541-760-2619