Provider Demographics
NPI:1669006177
Name:NURTURE LACTATION LLC
Entity Type:Organization
Organization Name:NURTURE LACTATION LLC
Other - Org Name:BEAVERTON BIRTH & BABIES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:503-960-0444
Mailing Address - Street 1:2225 SW 81ST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-3833
Mailing Address - Country:US
Mailing Address - Phone:503-960-0444
Mailing Address - Fax:
Practice Address - Street 1:2225 SW 81ST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-3833
Practice Address - Country:US
Practice Address - Phone:503-960-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty