Sharone Trail, IBCLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Sultan, WA

NPI 1205760550 · NPPES record last updated Jun 11, 2026

Key facts

NPI
1205760550
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
L-310201 (WA)
Practice address
210 N Park Dr
Sultan, WA 98294-7609
Phone
(206) 683-0050
NPI assigned
Jun 11, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-310201 WA Yes

Addresses

Primary practice location

210 N Park Dr
Sultan, WA 98294-7609

Mailing address

210 N Park Dr
Sultan, WA 98294-7609
Phone (206) 683-0050

Other providers in Sultan, WA

All providers in Sultan, WA · Lactation Consultant (Non-RN) in Washington

Sources for this page

Verify at the official NPI Registry.