Northwest Mothers Milk Bank
Northwest Mothers Milk Bank is a Voluntary or Charitable Agency in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2016.
- Licensed in
- OR
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
15875 SW 74th Ave Ste 100Tigard, OR 97224-7934
Phone: (503) 469-9555
Fax: (503) 469-0962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Parenteral & Enteral Nutrition Supplies (DME) (primary) | Taxonomy 332BP3500X · Licence 542742-96 (OR) |
|---|---|
| Voluntary or Charitable Agency | Taxonomy 251V00000X · Licence 542742-96 (OR) |
Record details
| NPI number | 1215471909 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lesley Mondeaux — Executive Director · (503) 332-0436 |
| NPI enumerated | December 14, 2016 |
| Last updated in NPPES | April 22, 2020 |
| Certification date | April 22, 2020 |
| Mailing address | 15875 Sw 74th Ave Ste 100, Tigard, OR 97224-7934 |