Individual
EMILY WELLINGTON MAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1873 NW KINGS BLVD, CORVALLIS, OR 97330-1907
(541) 525-3174
Mailing address
30598 STOUT LN, CORVALLIS, OR 97333-9542
(541) 499-2190
(541) 499-2190
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
08/22/2025
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