Individual
JENNA ASHLEY BRASSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2564 NW EDENBOWER BLVD STE 134, ROSEBURG, OR 97471-8854
(541) 492-2350
Mailing address
1368 CLARKS BRANCH RD, MYRTLE CREEK, OR 97457-9751
(541) 680-3081
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-10206731
OR
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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