Northwest Mothers Milk Bank

NPI #1215471909 in Tigard, Oregon

Provider Information

NPI Number: 1215471909
Entity Type: Organization
Organization Name: Northwest Mothers Milk Bank
Primary Specialty: Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Enumeration Date: Dec 14, 2016
Last Updated: Apr 22, 2020

Practice Location

Address: 15875 SW 74TH AVE STE 100
City: Tigard
State: Oregon
ZIP Code: 97224-7934
Phone: (503) 469-9555

Authorized Official

Name: LESLEY L MONDEAUX, RNC,IBCLC
Title: EXECUTIVE DIRECTOR
Phone: (503) 332-0436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Voluntary or Charitable	251V00000X
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X	Primary

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