Organization
KINDRED MOTHER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEJAL FICHADIA IBCLC (OWNER)
(503) 479-8129
Entity
Organization
Contact information
Practice address
20861 NW AMBER VIEW LN, BEAVERTON, OR 97006-6479
(503) 479-8129
Mailing address
20861 NW AMBER VIEW LN, BEAVERTON, OR 97006-6479
(503) 479-8129
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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