NORTHWEST MOTHERS MILK BANK


Address: 15875 Sw 74th Ave Ste 100, Tigard, OR 97224-7934
Phone: 5034699555

NORTHWEST MOTHERS MILK BANK (NPI# 1215471909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215471909
Entity Type Organization
Organization Name NORTHWEST MOTHERS MILK BANK
Practice Address 15875 Sw 74th Ave Ste 100
Tigard
OR 97224-7934
Practice Telephone 5034699555
Practice Fax Number 5034690962
Mailing Telephone 5034699555
Mailing Fax Number 5034690962
Enumeration Date 2016-12-14
Last Update Date 2020-04-22
Authorized Official Name LESLEY L MONDEAUX (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5033320436
Authorized Official Credential RNC,IBCLC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251V00000X Voluntary or Charitable 542742-96 OR Agencies
Y 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
542742-96 OR Suppliers

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names NORTHWEST MOTHERS MILK BANK 15875 Sw 74th Ave, Suite 100, Tigard, OR 97224

Office Location

Street Address 15875 SW 74TH AVE STE 100
City TIGARD
State OR
Zip Code 97224-7934

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154973139 Katherine Raineri Psychologist 7213 Sw Hazel Fern Rd, Tigard, OR 97224 2019-07-10
1871064618 Stacey A Wenzel Speech-Language Pathologist 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 2018-12-05
1376010090 Meredith Rae Brezinski Physical Therapist 18019 Sw Boones Ferry Road, Tigard, OR 97224 2018-10-31
1649759358 Viktoriya A Chiliy Behavior Technician 15290 Sw Royalty Parkway, Tigard, OR 97224 2018-08-13
1609384866 Rachel E King Physical Therapist 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 2018-01-22
1689190134 Isabelle Cooper Klee Caballero Speech-Language Pathologist 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 2017-08-16
1427573146 Breanna M Sandefur Behavior Technician 15290 Sw Royalty Pkwy, Tigard, OR 97224 2017-08-03
1083141196 Krista Espenship Registered Nurse 8032 Sw Ashford St, Tigard, OR 97224 2017-05-19
1275067928 Emily Elizabeth Myers Behavioral Analyst 15290 Royalty Parkway, Tigard, OR 97224 2017-04-19
1235684937 Melanie Salvador Nurse Practitioner 15352 Sw Oakmont Pl, Tigard, OR 97224 2016-08-23
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Taxonomy Information

Taxonomy Code 332BP3500X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Parenteral & Enteral Nutrition

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215262738 Sound Health Medical Supply Durable Medical Equipment & Medical Supplies 10130 Sw Nimbus Ave, Ste D9, Tigard, OR 97223 2009-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255876454 Hygeia II Medical Group, Inc. Durable Medical Equipment & Medical Supplies 16200 Nw Fescue Ct, Portland, OR 97229-1657 2016-12-23
1144762006 Hygeia II Medical Group Durable Medical Equipment & Medical Supplies 2620 Se 47th Ave, Portland, OR 97206-1504 2016-11-09
1629494562 Apria Healthcare LLC Durable Medical Equipment & Medical Supplies 8427 Ne Cornell Rd Ste 600, Hillsboro, OR 97124-9246 2014-03-17
1336451657 Norco, Inc. Durable Medical Equipment & Medical Supplies 333 Cherry Heights Rd, The Dalles, OR 97058-3586 2010-07-02
1841481256 Norco, Inc. Durable Medical Equipment & Medical Supplies 3039 S Highway 97, Redmond, OR 97756-8877 2007-08-09
1912101783 Option 1 Northwest Enteral, LLC Durable Medical Equipment & Medical Supplies 7926 Sw Nimbus Ave, Suite 8-d, Beaverton, OR 97008-6435 2007-06-13
1972640712 Optum Infusion Services 404, LLC Durable Medical Equipment & Medical Supplies 2065 Ne Williamson Court, Unit B, Bend, OR 97701 2007-01-31
1982757217 Mms Oklahoma City Inc. Durable Medical Equipment & Medical Supplies 540 E Vilas Rd, Suite #b, Central Point, OR 97502-3278 2007-01-19
1841350527 Option Care At Legacy Health LLC Durable Medical Equipment & Medical Supplies 16195 Sw 72nd Avenue, Portland, OR 97224-7766 2006-12-11
1013086594 Tuality Medical Equipment and Supply Durable Medical Equipment & Medical Supplies 1060 Sw Baseline St, Hillsboro, OR 97123-3823 2006-11-07
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Competitor

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City TIGARD
Zip Code 97224

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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