Healthcare Provider Details

I. General information

NPI: 1770396392
Provider Name (Legal Business Name): CUDDLES AND MILK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 S 3RD ST
MOUNT VERNON WA
98273-4324
US

IV. Provider business mailing address

19017 94TH DR NW
STANWOOD WA
98292-9110
US

V. Phone/Fax

Practice location:
  • Phone: 707-241-3206
  • Fax:
Mailing address:
  • Phone: 415-250-2594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: KATIE OSHITA
Title or Position: OWNER
Credential: RN, BSN, IBCLC
Phone: 415-250-2594