Individual
MS. ADRIENNE ROSE KOZNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
5440 SW WESTGATE DR STE 210, PORTLAND, OR 97221
(503) 830-5257
(503) 893-3086
Mailing address
11312 SW 84TH AVE, TIGARD, OR 97223-8404
(503) 830-5257
(503) 893-3086
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-99082
OR
Other
Enumeration date
06/20/2016
Last updated
03/12/2019
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