NPI 1083254676
Nourish Lactation
Practice location
- Address
- 19820 Village Office CT STE 201, Bend, OR 97702-2949
- Phone
- (541) 306-4299
- Mailing address
- 19334 Mohawk Rd, Bend, OR 97702-8908
Authorised official
- Name
- Brooke Borgognoni
- Title
- Owner
- Phone
- (541) 306-4299
Registered specialties (6)
Lactation Consultant (Non-RN)
Primary
Clinical Social Worker
Pediatric Nutrition Registered Dietitian
Lactation Consultant (Registered Nurse)
General Practice Physician
Pediatric Physical Therapist
Registry record
- NPI
- 1083254676
- Entity type
- Organization
- NPI issued
- 10 Jan 2020
- Record last updated
- 18 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.