Provider Demographics
NPI:1518411156
Name:DUNN, MEGAN (IBCLC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:DUNN
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 1:1525 B ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-2647
Mailing Address - Country:US
Mailing Address - Phone:503-851-2402
Mailing Address - Fax:
Practice Address - Street 1:1525 B ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2647
Practice Address - Country:US
Practice Address - Phone:503-851-2402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN