| Bliss Lactation, Llc | |
|
4004 Se Woodstock Blvd Portland OR 97202-7662 | |
| (503) 777-0444 | |
| (503) 777-0445 |
| Full Name | Bliss Lactation, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4004 Se Woodstock Blvd, Portland, Oregon |
| Authorized Official Name and Position | Chelsea L. Desorbo (LACTATION CONSULTANT) |
| Authorized Official Contact | 5035939432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bliss Lactation, Llc 13230 Ne Sacramento Dr Portland OR 97230-3035 Ph: (503) 593-9432 | Bliss Lactation, Llc 4004 Se Woodstock Blvd Portland OR 97202-7662 Ph: (503) 777-0444 |
| NPI Number | 1326593971 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326593971 | NPI | - | NPPES |
| L-99965 | Other | OR | IBCLC ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L-99965 (Oregon) | Primary |
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