Individual
ASHLEY N PITTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
221 ASTI WAY, ROSEBURG, OR 97471-9364
(541) 530-9952
(541) 957-3704
Mailing address
221 ASTI WAY, ROSEBURG, OR 97471-9364
(541) 530-9952
(541) 957-3704
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
201403964RN
OR
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-96877
OR
Other
Enumeration date
05/30/2015
Last updated
08/24/2023
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