Provider Demographics
NPI:1285164020
Name:INLAND NORTHWEST LACTATION ASSOCIATES
Entity type:Organization
Organization Name:INLAND NORTHWEST LACTATION ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:509-228-8710
Mailing Address - Street 1:25125 E TRENT AVE UNIT 1027
Mailing Address - Street 2:
Mailing Address - City:NEWMAN LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99025-1147
Mailing Address - Country:US
Mailing Address - Phone:509-228-8710
Mailing Address - Fax:
Practice Address - Street 1:25125 E TRENT AVE UNIT 1027
Practice Address - Street 2:
Practice Address - City:NEWMAN LAKE
Practice Address - State:WA
Practice Address - Zip Code:99025-1147
Practice Address - Country:US
Practice Address - Phone:509-228-8710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty