Provider Demographics
NPI:1629493358
Name:NURSING MOTHERS COUNSEL OF OREGON
Entity Type:Organization
Organization Name:NURSING MOTHERS COUNSEL OF OREGON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARALSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-607-7975
Mailing Address - Street 1:818 SW 3RD AVE
Mailing Address - Street 2:SUITE 372
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-2405
Mailing Address - Country:US
Mailing Address - Phone:503-282-3338
Mailing Address - Fax:
Practice Address - Street 1:818 SW 3RD AVE
Practice Address - Street 2:SUITE 372
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2405
Practice Address - Country:US
Practice Address - Phone:503-282-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies