Active NPI
Whitney Lee Tiller, IBCLC
- Registered Nurse
- Beaverton, OR
National Provider Identifier
1275315541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 10059227
- Practice address
- 15760 NW Overton Dr
Beaverton, OR 97006-5367 - Phone
- (971) 500-4771
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | LC-LC-10235545 | OR | |
| Registered Nurse | 163W00000X | 10059227 | OR | Primary |
Addresses
Primary practice location
15760 NW Overton Dr
Beaverton, OR 97006-5367
Mailing address
15760 NW Overton Dr
Beaverton, OR 97006-5367
Phone (971) 500-4771
Other practice location 1
3220 SW 1st Ave Ste 150
Portland, OR 97239-4600
Phone (503) 755-8328
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10059227 | OR | MD | Registered Nurse |
| LC-LC-10235545 | OR | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Rose Lactation | Lactation Consultant | Past | Accepting new patients |
| Wildflower Lactation and Postpartum Support LLC | Lactation Consultant | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Lactation Consultant (Registered Nurse)
- Beaverton, OR
- NPI 1962320788
Lactation Consultant
-
- Lactation Consultant (Registered Nurse)
- Portland, OR
- NPI 1881530418
Lactation Consultant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1275315541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15760 NW OVERTON DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970065367",
"telephone_number": "971-500-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15760 NW OVERTON DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970065367",
"telephone_number": "971-500-4771"
}
],
"practiceLocations": [
{
"address_1": "3220 SW 1st Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972394600",
"country_code": "US",
"telephone_number": "503-755-8328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TILLER",
"first_name": "WHITNEY",
"middle_name": "LEE",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "OR",
"license": "LC-LC-10235545",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "10059227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.