WILDFLOWER LACTATION NPI 1417793746

NPI Information

  • NPI: 1417793746
  • Provider Name: WILDFLOWER LACTATION
  • Classification: Lactation Consultant, Non-RN - 174N00000X
  • Entity Type: Organization
  • Address: 3323 SW NAITO PKWY
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 755-8328

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NPI Details

WILDFLOWER LACTATION is a lactation consultant non rn in Portland, OR. The provider is an individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. WILDFLOWER LACTATION NPI is 1417793746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3323 SW NAITO PKWY
PORTLAND, OR
ZIP 97239-672
Phone: (503) 755-8328

The provider's authorized official is Elizabeth E Waters .
The authorized official title is Owner and has the following contact phone number (541) 645-3018.

The enumeration date for this NPI number is 7/5/2024 and was last updated on 10/22/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174N00000XLactation Consultant, Non-RNYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500820297MEDICAIDOREGON

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: 11/21/2025

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