Individual
MRS. MEGAN TAYLOR KJELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1500
Mailing address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1500
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10952676
OR
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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