Individual
ASIA RUBIO VILLANANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
6465 NE MLK BLVD APT 216, PORTLAND, OR 97211-3085
(503) 926-0239
Mailing address
6465 NE MLK BLVD APT 216, PORTLAND, OR 97211-3085
(503) 926-0239
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L31102
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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