Individual provider Active NPI

Whitney Lee Tiller, IBCLC

  • Registered Nurse
  • Beaverton, OR
National Provider Identifier
1275315541
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
10059227 Issued in OR
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

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10059227ORMDRegistered Nurse
LC-LC-10235545ORMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.