Waters, Elizabeth Ellen

Waters, Elizabeth Ellen is an sole proprietor health care provider with primary practice located at 3323 Sw Naito Pkwy , Portland OR 97239-4672. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Waters, Elizabeth Ellen can be contacted via phone (503) 755-8328.

Contact Information

Primary practice address
3323 Sw Naito Pkwy Portland OR 97239-4672
Fax: (503) 506-0676
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X LC-10196698 Oregon

Profile Details

NPI number 1932663309
LBN Legal business name Waters, Elizabeth Ellen
Credentials IBCLC, RLC, CPPD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2019
Last updated Jun 6th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932663309 NPPES
Oregon Other LC-LC-10196698 OREGON HEALTH LICENSING-LACTATION CONSULTANT PROGRAM
Oregon MEDICAID 500820297 OREGON HEALTH LICENSING-LACTATION CONSULTANT PROGRAM
Oregon Other L-152153 OREGON HEALTH LICENSING-LACTATION CONSULTANT PROGRAM

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