Individual
HEIDI SUZANNE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN APRN CNM IBCLC
Contact information
Practice address
1406 MARINE DR, ASTORIA, OR 97103-3808
(503) 468-0650
(503) 376-6716
Mailing address
1406 MARINE DR, ASTORIA, OR 97103-3808
(503) 468-0650
(503) 376-6716
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-165889
CO
367A00000X
Advanced Practice Midwife
Primary
202104538NP-PP
OR
367A00000X
Advanced Practice Midwife
APN.0995468-CNM
CO
Other
Enumeration date
04/06/2020
Last updated
06/03/2021
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