Organization
BLISS LACTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA L. DESORBO IBCLC (LACTATION CONSULTANT)
(503) 593-9432
Entity
Organization
Contact information
Practice address
4004 SE WOODSTOCK BLVD, PORTLAND, OR 97202-7662
(503) 777-0444
(503) 777-0445
Mailing address
13230 NE SACRAMENTO DR, PORTLAND, OR 97230-3035
(503) 593-9432
(503) 777-0445
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L-99965
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-99965
IBCLC ID NUMBER
OR
Enumeration date
08/23/2016
Last updated
08/23/2016
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