Individual provider Active NPI

Julia Marie Hanson Vaara, IBCLC

  • Lactation Consultant (Non-RN)
  • Portland, OR
National Provider Identifier
1194414110
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-74464 Issued in OR
Practice address
4619 NE Killingsworth St Unit 16
Portland, OR 97218-1952
Phone
(360) 393-9845
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-74464 OR Primary

Addresses

Primary practice location

4619 NE Killingsworth St Unit 16
Portland, OR 97218-1952

Mailing address

2879 N Nugent Rd Apt H5
Lummi Island, WA 98262-8689
Phone (360) 393-9845

Other practice location 1

2879 N Nugent Rd Apt H5
Lummi Island, WA 98262-8689
Phone (360) 393-9845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L-74464ORMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1194414110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 N NUGENT RD APT H5",
            "city": "LUMMI ISLAND",
            "state": "WA",
            "postal_code": "982628689",
            "telephone_number": "360-393-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 NE KILLINGSWORTH ST UNIT 16",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181952",
            "telephone_number": "360-393-9845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2879 N Nugent Rd Apt H5",
            "address_purpose": "LOCATION",
            "city": "Lummi Island",
            "state": "WA",
            "postal_code": "982628689",
            "country_code": "US",
            "telephone_number": "360-393-9845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAARA",
        "first_name": "JULIA",
        "middle_name": "MARIE HANSON",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "OR",
            "license": "L-74464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.