Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nourish Lactation

Organization Clinical Social Worker · NPI 1083254676

Nourish Lactation is a Clinical Social Worker in Bend, Oregon. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6

Practice location Address checks out

19820 Vlg Ofc CT Ste 201
Bend, OR 97702-2949
Phone: (541) 306-4299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X
Clinical Social Worker Taxonomy 1041C0700X
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X
Lactation Consultant (Registered Nurse) Taxonomy 163WL0100X
General Practice Physician Taxonomy 208D00000X
Pediatric Physical Therapist Taxonomy 2251P0200X

Record details

NPI number1083254676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brooke Borgognoni — Owner · (541) 306-4299
NPI enumeratedJanuary 10, 2020
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address19334 Mohawk Rd, Bend, OR 97702-8908

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