Healthcare Provider Details

I. General information

NPI: 1023691789
Provider Name (Legal Business Name): LINDSEY ROSE PARIANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

753 SUMMER GLEN DR
MEDFORD OR
97501-4500
US

IV. Provider business mailing address

PO BOX 136
MEDFORD OR
97501-0009
US

V. Phone/Fax

Practice location:
  • Phone: 541-326-1213
  • Fax:
Mailing address:
  • Phone: 541-326-1213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License NumberTHW000104905
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: