Organization
EVERGREEN NUTRITION SERVICES PLLC
Active
Other names
Quimper Lactation
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CASHIN MPH, IBCLC (OWNER, PROVIDER)
(360) 302-0996
Entity
Organization
Contact information
Practice address
808 T ST, PORT TOWNSEND, WA 98368-3402
(360) 302-0996
Mailing address
808 T ST, PORT TOWNSEND, WA 98368-3402
(360) 302-0996
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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