Wildflower Lactation

LBN: Wildflower Lactation
Wildflower Lactation is an health care organization with primary practice located at 3323 Sw Naito Pkwy , Portland OR 97239-4672. The organization recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as the primary health care specialty. Wildflower Lactation can be contacted via phone (503) 755-8328, or through Waters, Elizabeth E via phone (541) 645-3018.

Contact Information

Primary practice address
3323 Sw Naito Pkwy Portland OR 97239-4672
Phone: (503) 755-8328
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waters, Elizabeth E IBCLC
Phone: (541) 645-3018

Health care specialties

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

Profile Details

NPI number 1417793746
LBN Legal business name Wildflower Lactation
DBA Doing business as
Authorized official Waters, Elizabeth E IBCLC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2024
Last updated Jul 5th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417793746 NPPES
Oregon MEDICAID 500820297

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