Individual
TIERRA LINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 383-3005
(541) 383-1883
Mailing address
600 SW COLUMBIA ST STE 6250, BEND, OR 97702-1099
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L307714
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2505315
AAMA
OR
01
—
L-307714
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
VA
Enumeration date
01/23/2023
Last updated
08/21/2023
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