Individual
JESSICA GASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
6406 NE 36TH AVE, PORTLAND, OR 97211-7234
(707) 484-3378
Mailing address
6406 NE 36TH AVE, PORTLAND, OR 97211-7234
(707) 484-3378
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-10189339
OR
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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