Individual provider Active NPI

Alexis Montavon, BS

  • Doula
  • Portland, OR
National Provider Identifier
1477490746
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
117016 Issued in OR
Practice address
2916 SE 18TH Ave
Portland, OR 97202-2223
Phone
(541) 806-4462
NPI assigned
May 4, 2026
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 117016 OR Primary

Addresses

Primary practice location

2916 SE 18TH Ave
Portland, OR 97202-2223

Mailing address

6340 Sperry Rd
Mount Hood Parkdale, OR 97041-7639
Phone (541) 806-4462

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
117016ORMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1477490746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SPERRY RD",
            "city": "MOUNT HOOD PARKDALE",
            "state": "OR",
            "postal_code": "970417639",
            "telephone_number": "541-806-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 SE 18TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022223",
            "telephone_number": "541-806-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAVON",
        "first_name": "ALEXIS",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "117016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.