Individual
LARAINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
31460 SW ISLE WAY LN, WEST LINN, OR 97068-9408
(503) 454-6917
Mailing address
31460 SW ISLE WAY LN, WEST LINN, OR 97068-9408
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
000042163RN
OR
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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