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Nourish Lactation
Pediatric Physical Therapist in Bend, Oregon
NPI 1083254676

Nourish Lactation is a Pediatric Physical Therapist based in Bend, OR and is specialized in Pediatrics. Nourish Lactation practices in Bend, OR. The NPI Number for Nourish Lactation is 1083254676 and holds a License No. (Oregon).

The current practice location address for Nourish Lactation is 19820 Village Office Ct Ste 201, Bend, OR and can be reached out via phone at 541-306-4299. You can also correspond with Nourish Lactation through the mailing address at 19334 MOHAWK RD, BEND, OR - 97702-8908 (mailing address contact number: ).

Location: 19820 Village Office Ct Ste 201, Bend, OR, 97702-8908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083254676
Provider Name
Nourish Lactation
Credential
Provider Entity Type
Organization
Address
19820 Village Office Ct Ste 201, Bend, OR, 97702-8908
Phone Number
541-306-4299
Fax Number
Provider Enumeration Date
01/10/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
19820 Village Office Ct Ste 201
City
Bend
State
Oregon
Zip
97702-2949
Phone Number
541-306-4299
Fax Number
person
Provider Business Mailing Address Details
Address
19334 Mohawk Rd
City
Bend
State
Oregon
Zip
97702-8908
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
()
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
163WL0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Lactation Consultant, Non-RN
Speciality
-
Taxonomy
174N00000X
License No.
()
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
()
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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