Individual
ROBIN NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
18205 SW BROAD OAK BLVD, BEAVERTON, OR 97007-4611
(503) 960-0444
Mailing address
18205 SW BROAD OAK BLVD, BEAVERTON, OR 97007-4611
(503) 960-0444
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-164398
OR
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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