Individual
MS. ULRIKKE FRANCES HAVERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
7043 N CAMPBELL AVE, PORTLAND, OR 97217-5611
(503) 449-7864
Mailing address
7043 N CAMPBELL AVE, PORTLAND, OR 97217-5611
(503) 449-7864
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-LC-10197349
OR
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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