Individual
ANNA KRISTINA SODERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
7612 N OLIN AVE, PORTLAND, OR 97203-4654
(503) 875-7177
Mailing address
7612 N OLIN AVE, PORTLAND, OR 97203-4654
(503) 875-7177
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-LC-10203542
OR
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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