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Lara Greenberg, IBCLC
Clinic/Center in Portland, Oregon
NPI 1831612381

Lara Greenberg is a Clinic/Center based in Portland, OR. Lara Greenberg practices in Portland, OR and has the professional credentials of IBCLC. The NPI Number for Lara Greenberg is 1831612381 and holds a License No. L-97275 (Oregon).

The current practice location address for Lara Greenberg is 4004 Se Woodstock Blvd, Portland, OR and can be reached out via phone at 503-703-3011.

Location: 4004 Se Woodstock Blvd, Portland, OR, 97219-3221
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Provider Profile Details
NPI Number
1831612381
Provider Name
Lara Greenberg
Credential
IBCLC
Provider Entity Type
Individual
Gender
Female
Address
4004 Se Woodstock Blvd, Portland, OR, 97219-3221
Phone Number
503-703-3011
Fax Number
Provider Enumeration Date
07/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L-97275 01 OR IBCLC
institution
Provider Business Practice Location Address Details
Address
4004 Se Woodstock Blvd
City
State
Zip
97202
Phone Number
503-703-3011
Fax Number
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Provider Business Mailing Address Details
Address
4004 Se Woodstock Blvd
City
State
Zip
97202
Phone Number
503-703-3011
Fax Number
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Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
L-97275 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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