Individual provider Active NPI

Ulrikke Frances Haveron, IBCLC

  • Lactation Consultant (Non-RN)
  • Portland, OR
National Provider Identifier
1518424563
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
LC-LC-10197349 Issued in OR
Practice address
7043 N Campbell Ave
Portland, OR 97217-5611
Phone
(503) 449-7864
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X LC-LC-10197349 OR Primary

Addresses

Primary practice location

7043 N Campbell Ave
Portland, OR 97217-5611

Mailing address

7043 N Campbell Ave
Portland, OR 97217-5611
Phone (503) 449-7864

Other names 1

  • Ulrikka, Uli Frances Haveron Other name

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
LC-LC-10197349ORMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1518424563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 N CAMPBELL AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175611",
            "telephone_number": "503-449-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 N CAMPBELL AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175611",
            "telephone_number": "503-449-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERON",
        "first_name": "ULRIKKE",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "OR",
            "license": "LC-LC-10197349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ULRIKKA, ULI",
            "last_name": "HAVERON",
            "middle_name": "FRANCES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 26, 2019; 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.