Individual provider · Type 1 NPI
Amanda Kaitlin Wallace, RN
Lactation Consultant (Registered Nurse) · Mcminnville, OR
NPI number
1093632176
Active
Practice location
1663 NW Edgar St
Mcminnville, OR 97128-3044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 201500633RN (OR) |
Lactation Consultant (Registered Nurse): Definition to come...
Other lactation consultant (registered nurse) providers in Mcminnville
About NPI 1093632176
Amanda Kaitlin Wallace, RN's National Provider Identifier is 1093632176, issued on Jun 30, 2026. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Mcminnville, OR. The record was last updated on Jun 30, 2026.