Individual
JULIANN MASSEY STANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
3896 SE HERON GLEN WAY, PORTLAND, OR 97267-5867
(920) 851-6106
Mailing address
3896 SE HERON GLEN WAY, PORTLAND, OR 97267-5867
(920) 851-6106
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
201701476RN
OR
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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