Individual
BRITTANY TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
719 ELLIS AVE, LAKE OSWEGO, OR 97034-2855
(503) 593-4651
Mailing address
719 ELLIS AVE, LAKE OSWEGO, OR 97034-2855
(503) 593-4651
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-LC-10240708
OR
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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