Individual provider · Type 1 NPI

Mary Delong, BSN, RN, IBCLC

Lactation Consultant (Registered Nurse) · Bend, OR

NPI number 1366300899 Active

Practice location

2200 NE Professional Ct
Bend, OR 97701-6063

Mailing address

20530 SE Cameron Ave
Bend, OR 97702-3768

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100X10265707 (OR)

Lactation Consultant (Registered Nurse): Definition to come...

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About NPI 1366300899

Mary Delong, BSN, RN, IBCLC's National Provider Identifier is 1366300899, issued on Jan 13, 2026. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Bend, OR. The record was last updated on Jan 13, 2026.