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Contact Information

NOURISH LACTATION
19820 VILLAGE OFFICE CT STE 201
BEND, OR97702-2949
 Phone: 541-306-4299
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant, Non-RN

174N00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Lactation Consultant

163WL0100X
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NOURISH LACTATION · (Female)

NPI # 1083254676
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2020
Last updated 12/18/2023 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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