Provider Demographics
NPI:1164769592
Name:HELDT, EMILY (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:HELDT
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N 5TH ST
Mailing Address - Street 2:PO BOX 1334
Mailing Address - City:AUMSVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97325-8996
Mailing Address - Country:US
Mailing Address - Phone:503-580-3535
Mailing Address - Fax:
Practice Address - Street 1:420 N 5TH ST
Practice Address - Street 2:
Practice Address - City:AUMSVILLE
Practice Address - State:OR
Practice Address - Zip Code:97325-8996
Practice Address - Country:US
Practice Address - Phone:503-580-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN