Bliss Lactation, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

L-99965 Issued in OR

Legal business name

BLISS LACTATION, LLC

Practice address

4004 SE Woodstock Blvd
Portland, OR 97202-7662

Phone

(503) 777-0444

Fax

(503) 777-0445

NPI assigned

Aug 23, 2016

Last updated

Aug 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chelsea L. Desorbo, IBCLCNPI 1952829442

Title

Lactation Consultant

Phone

(503) 593-9432

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chelsea Leigh Desorbo, IBCLC

  • Lactation Consultant (Non-RN)
  • Portland, OR
  • NPI 1952829442
  NPD (past) Authorized official
• Jill Charno, IBCLC

  • Lactation Consultant (Non-RN)
  • Portland, OR
  • NPI 1285330969
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1326593971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13230 NE SACRAMENTO DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972303035",
            "telephone_number": "503-593-9432",
            "fax_number": "503-777-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 SE WOODSTOCK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027662",
            "telephone_number": "503-777-0444",
            "fax_number": "503-777-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS LACTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "DESORBO",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "503-593-9432",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "L-99965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC ID NUMBER",
            "identifier": "L-99965",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy Charles Bliley IV, MD
• Michael Steven Blindheim, DMD
• Blink LLC (Blink)
• Colton Andrew Blinka
• Bliss Center Inc
• Annelise Bliss, MED, CCC-SLP
• Kya Bliss, LMT
• Laura Bliss
• Matthew Michael Bliziotes, MD
• Blkjade. Mental Wellness, LLC.

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.