Individual
MRS. HOLLY LYN RISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC,RLC
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1278
(541) 754-1512
Mailing address
5638 NW FAIR OAKS DR, CORVALLIS, OR 97330-3115
(541) 602-6631
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
200340142RN
OR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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