Lisa King, IBCLC
Individual provider Active NPI Lactation Consultant (Non-RN) · Stayton, OR
NPI 1437044526 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1437044526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- LC-LC-10189374 (OR)
- Practice address
- 1401 N 10TH Ave
Stayton, OR 97383-1311 - Phone
- (503) 769-9200
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC-LC-10189374 | OR | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | LC-LC-10189374 | OR | Yes |
Addresses
Primary practice location
1401 N 10TH Ave
Stayton, OR 97383-1311
Mailing address
4935 Wagon Rim CT SE
Salem, OR 97317-5796
Phone (503) 480-6662
Other providers in Stayton, OR
- Jeanne L Fitzpatrick MD PC
- Jeff Van Kirk, DMD, PC
- Jeffery J Moll DC PC
- Morgan E Kilgore
- Claire E King
- Lakeside Cottages
- Haley Jo Lambert
- Austin Landreville
- Lance Brandon Large
- Rachael Leary
All providers in Stayton, OR · Lactation Consultant (Non-RN) in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.