Individual
MS. LYLA WOLFENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
3104 NE 31ST AVE, PORTLAND, OR 97212-2615
(503) 754-2718
Mailing address
2024 SE CLINTON STREET, PORTLAND, OR 97202
(503) 754-2718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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