Individual provider Active NPI

Meghan Blair Holland, CNM

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1073304739
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10048654 Issued in OR
Practice address
10123 SE Market St
Portland, OR 97216-2532
Phone
(503) 261-4423
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Obstetric Registered Nurse 163WX0003X 201806754RN OR
Advanced Practice Midwife 367A00000X 10048654 OR Primary

Addresses

Primary practice location

10123 SE Market St
Portland, OR 97216-2532

Mailing address

PO Box 3777
Portland, OR 97208-3777

Other practice location 1

2800 N Vancouver Ave
Portland, OR 97227-1630
Phone (503) 413-4500

Other practice location 2

10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone (503) 261-4423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829002147 OR Practitioner - Certified Nurse Midwife (CNM) 9638670714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1919 NW Lovejoy St
Portland, OR 97209-1503

2850 NW 31St Ave
Portland, OR 97210-1720

6305 NE 13TH Ave
Portland, OR 97211-4101

PO Box
Los Angeles, CA 90088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
201806754RNORMDInpatient Obstetric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Nov 3, 2025 Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 18, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Nov 3, 2025 Accepting new patients
Portland Adventist Medical Center CurrentSince Jan 29, 2023 Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

10101 SE Main St
Ste 3001
Portland, OR 97216
Phone (503) 255-2667

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

2800 N Vancouver Ave
Portland, OR 97227
Phone (503) 413-4340

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1073304739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 SE MARKET ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162532",
            "telephone_number": "503-261-4423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 N Vancouver Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271630",
            "country_code": "US",
            "telephone_number": "503-413-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 SE Main St Ste 3001",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162458",
            "country_code": "US",
            "telephone_number": "503-261-4423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MEGHAN",
        "middle_name": "BLAIR",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "OR",
            "license": "201806754RN",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "10048654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.