BIG MAMA DOULAS - GRANDMANEM STYLE – NPI #1982555173
Clinic/Center

A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.

BIG MAMA DOULAS - GRANDMANEM STYLE is an AHC clinic located in GRESHAM, OR. NPPES has assigned the NPI number 1982555173 to BIG MAMA DOULAS - GRANDMANEM STYLE on February 04, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QB0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Birthing

The NPI profile was last updated on Feb 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BIG MAMA DOULAS - GRANDMANEM STYLE below.

NPI Profile for
BIG MAMA DOULAS - GRANDMANEM STYLE

NPI Number
1982555173
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BIG MAMA DOULAS - GRANDMANEM STYLE
Primary location
24800 SE STARK ST
GRESHAM, OR 97030-3378
Phone: (503) 674-1122 Fax:
1 Other location(s):
4805 NE Glisan St
Portland, OR 97213-2933
Phone: (503) 215-6150
Mailing address
1087 SW DOTTIE CT
TROUTDALE, OR 97060-1215
Phone: (971) 512-6022 Fax:
Organization Subpart
No
Authorized Official
LETISHA MCCOY
EXECUTIVE DIRECTOR
Phone: (971) 488-8076
Updated
Certification Date
Feb 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QB0400X
- Clinic/Center / Birthing (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.