Healthcare Provider Details

I. General information

NPI: 1700529922
Provider Name (Legal Business Name): BYENVENI BABY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 04/15/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12665 SW HALL BLVD
PORTLAND OR
97223-6217
US

IV. Provider business mailing address

7888 SW 87TH AVE
PORTLAND OR
97223-7008
US

V. Phone/Fax

Practice location:
  • Phone: 503-724-4474
  • Fax:
Mailing address:
  • Phone: 503-724-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: SARA ELIZABETH HOLT
Title or Position: OWNER/MIDWIFE
Credential: CNM, MS, CAS
Phone: 503-724-4474