| NPI | 1083254676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE BORGOGNONI Owner 541-306-4299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 163WL0100X Registered Nurse, Lactation Consultant | |
| 208D00000X General Practice | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2023-12-18 |