Organization
LULLABY LACTATION LLC
Active
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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