Organization
BRIGHT STAR LACTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BLISS OHD IBCLC (LACTATION CONSULTANT)
(541) 231-2671
Entity
Organization
Contact information
Practice address
1435 NW GREENWOOD PL, CORVALLIS, OR 97330-1827
(541) 231-2671
Mailing address
1435 NW GREENWOOD PL, CORVALLIS, OR 97330-1827
(541) 231-2671
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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