Provider Demographics
NPI:1174298301
Name:BREASTFEEDING OUTREACH FOR GREATER WASHINGTON
Entity Type:Organization
Organization Name:BREASTFEEDING OUTREACH FOR GREATER WASHINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-293-5182
Mailing Address - Street 1:1020 19TH ST NW STE 150
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6103
Mailing Address - Country:US
Mailing Address - Phone:202-293-5182
Mailing Address - Fax:
Practice Address - Street 1:1020 19TH ST NW STE 150
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6103
Practice Address - Country:US
Practice Address - Phone:202-293-5182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty