Provider Demographics
NPI:1376431122
Name:O'BRYANT, ASHLEY G (END OF LIFE DOULA)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:G
Last Name:O'BRYANT
Suffix:
Gender:F
Credentials:END OF LIFE DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W NIAGARA AVE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-5738
Mailing Address - Country:US
Mailing Address - Phone:503-836-2453
Mailing Address - Fax:
Practice Address - Street 1:210 W NIAGARA AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-5738
Practice Address - Country:US
Practice Address - Phone:503-836-2453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula