Organization
LULLABY LACTATION LLC
Active
Other names
Lullaby Lactation
Organization subpart
No
Provider details
NPI number
Authorized official
JESSAMYN ANN BOTHWELL RN, IBCLC (OWNER)
(503) 997-2684
Entity
Organization
Contact information
Practice address
39643 NW MURTAUGH RD, NORTH PLAINS, OR 97133-6143
(503) 647-5189
Mailing address
PO BOX 75, NORTH PLAINS, OR 97133-0075
(503) 997-2684
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
200140760RN
OR
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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