Individual
MEREDITH BROOKE MANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM, IBCLC
Contact information
Practice address
405 NE 3RD ST STE 7, MCMINNVILLE, OR 97128-6219
(503) 495-3266
(971) 545-7774
Mailing address
22205 WALLACE RD NW, SALEM, OR 97304-9628
(213) 448-2355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10051405
OR
163WL0100X
Lactation Consultant (Registered Nurse)
L-149934
OR
176B00000X
Midwife
99320
TX
176B00000X
Midwife
Primary
DEM-LD-10195740
OR
Other
Enumeration date
01/31/2018
Last updated
10/03/2025
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