Wildflower Lactation

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

WILDFLOWER LACTATION

Practice address

3323 SW Naito Pkwy
Portland, OR 97239-4672

Phone

(503) 755-8328

NPI assigned

Jul 5, 2024

Last updated

Oct 22, 2025By 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

Elizabeth E Waters, IBCLCNPI 1932663309

Title

Owner

Phone

(541) 645-3018

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Elizabeth Ellen Waters, IBCLC, RLC, CPPD

  • Lactation Consultant (Non-RN)
  • Portland, OR
  • NPI 1932663309

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1417793746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 SW VALERIA VIEW DR APT 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972257085",
            "telephone_number": "503-755-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 SW NAITO PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394672",
            "telephone_number": "503-755-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 Commercial St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "OR",
            "postal_code": "971033800",
            "country_code": "US",
            "telephone_number": "503-755-8328",
            "fax_number": "503-506-0676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILDFLOWER LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-645-3018",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500820297",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jennifer Wilder, MD MHS
• Kenlin Wilder, MBA, MS MHC
• Patrick Robert Wilder
• Sandra Wilder, RN
• Wildflower Counseling LLC
• Wildflower Lactation and Postpartum Support LLC
• Wildflower Psychiatry
• Wildflower Wellness LLC
• Anne Wildgen
• Nicholas E Wildi

• Lactation Consultant (Non-RN) in Portland, OR
• Providers in Portland, OR by specialty
• Lactation Consultant (Non-RN) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.