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Individual

RACHAEL VOLLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, IBCLC

Contact information

Practice address
1804 NE 45TH AVE, PORTLAND, OR 97213-1416
(971) 678-5846
Mailing address
1804 NE 45TH AVE, PORTLAND, OR 97213-1416
(971) 678-5846

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-64562
OR
225700000X
Massage Therapist
14790
OR

Other

Enumeration date
04/05/2011
Last updated
05/14/2015
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