Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | LC-LC10213977 | OR |
NPI | 1174191795 |
---|---|
Provider Name | Lucinda Rose Hillenbrand |
First Address | Beaverton, OR 97007-6136 |
Second Address | Beaverton, OR 97007-6136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2021 |
Last Update Date | 11/06/2021 |