OrganizationActive
Big Mama Doulas - Grandmanem Style
NPI 1982555173 · Birthing Clinic/Center · Gresham, OR
Provider details
- NPI number
- 1982555173
- Entity type
- Organization
- Primary specialty
- Birthing Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Letisha Mccoy, Executive Director(971) 488-8076
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
24800 Se Stark St
Gresham, OR 97030-3378
Phone: (503) 674-1122
Approximate (ZIP-level) locationGet directions
Mailing address
1087 Sw Dottie Ct
Troutdale, OR 97060-1215
Additional practice locations (1)
- 4805 Ne Glisan StPortland, OR 97213-2933Phone: (503) 215-6150
Registry dates
- Enumerated
- 2026-02-04
- Last updated
- 2026-02-13
- Certified
- 2026-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.