| NPI | 1699030932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE VANDOMELEN Owner 503-848-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OR 200342213RN) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |