=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881501013
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PEG KRIZ, LMT AND BIRTH DOULA, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2026
-----------------------------------------------------
Last Update Date | 08/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1410 NW 15TH ST
-----------------------------------------------------
City | CORVALLIS
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97330-2607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-760-2619
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1410 NW 15TH ST
-----------------------------------------------------
City | CORVALLIS
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97330-2607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-760-2619
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PROVIDER
-----------------------------------------------------
Name | MARGARET KRIZ
-----------------------------------------------------
Credential | THW
-----------------------------------------------------
Telephone | 541-760-2619
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------