ELLEN PORTRAIT

TIGARD, OR
NPI1508225392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WL0100X Registered Nurse Lactation Consultant
(Licence: OR  082011881RN)
Enumeration Date2016-02-22
Last Update Date2016-02-22
Business Address
ELLEN PORTRAIT RN, IBCLC
7150 SW DARTMOUTH ST
TIGARD, OR 97223-7614
Phone number: 503-968-3480
Mailing Address
ELLEN PORTRAIT RN, IBCLC
7150 SW DARTMOUTH ST
TIGARD, OR 97223-7614
Phone number: 503-968-3480
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