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).
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 |
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 |
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 |
Street Address |
15875 SW 74TH AVE STE 100 |
City | TIGARD |
State | OR |
Zip Code | 97224-7934 |
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 |
Find all providers in zip 97224 |
Taxonomy Code | 332BP3500X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Parenteral & Enteral Nutrition |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
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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.