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NORTHWEST MOTHERS MILK BANK NPI 1215471909


NPI Information

NPI: 1215471909
Provider Name: NORTHWEST MOTHERS MILK BANK
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
15875 SW 74TH AVE STE 100
TIGARD, OR
ZIP 97224
Phone: (503) 469-9555
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NORTHWEST MOTHERS MILK BANK is a parenteral and enteral nutrition durable medical equipment medical supplies in Tigard, OR. NORTHWEST MOTHERS MILK BANK NPI is 1215471909. The provider is registered as an organization entity type.

The provider's business location address is:

15875 SW 74TH AVE STE 100
TIGARD, OR
ZIP 97224-934
Phone: (503) 469-9555
Fax: (503) 469-0962

The provider's authorized official is Lesley L Mondeaux .
The authorized official title is Executive Director and has the following contact phone number (503) 332-0436.

The enumeration date for this NPI number is 12/14/2016 and was last updated on 4/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251V00000XVoluntary or Charitable542742-96OREGONNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition542742-96OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.