Healthcare Provider Details

I. General information

NPI: 1174381685
Provider Name (Legal Business Name): ZURIMA BIRTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 SW PARK AVE STE 304
PORTLAND OR
97205-3204
US

IV. Provider business mailing address

37971 JUNIPER ST
SANDY OR
97055-6870
US

V. Phone/Fax

Practice location:
  • Phone: 971-236-2612
  • Fax: 971-206-9640
Mailing address:
  • Phone: 971-236-2612
  • Fax: 971-206-9640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: TERRA PRESLEY
Title or Position: OWNER
Credential:
Phone: 971-236-2612