Individual
AMY PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
16 FAIRVIEW HEIGHTS LOOP, BURNS, OR 97720-2324
(503) 724-7654
Mailing address
16 FAIRVIEW HEIGHTS LOOP, BURNS, OR 97720-2324
(503) 724-7654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200342091RN
OR
163WL0100X
Lactation Consultant (Registered Nurse)
L-68502
OR
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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