Allison Leach Gladney, CLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Stayton, OR

NPI 1073350773 · NPPES record last updated Jul 10, 2024

Key facts

NPI
1073350773
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
Practice address
1401 N 10TH Ave
Stayton, OR 97383-1311
Phone
(503) 769-9200
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Canyon Lactation & Wellness Lactation Consultant, Non-RN Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X Yes

Addresses

Primary practice location

1401 N 10TH Ave
Stayton, OR 97383-1311

Mailing address

1401 N 10TH Ave
Stayton, OR 97383-1311

Other providers in Stayton, OR

All providers in Stayton, OR · Lactation Consultant (Non-RN) in Oregon

Sources for this page

Verify at the official NPI Registry.