Individual
ANGELA HOERTKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201141721RN
OR
163WL0100X
Lactation Consultant (Registered Nurse)
L-45572
OR
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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