Active NPI
Lisa Gonzales, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Wilsonville, OR
National Provider Identifier
1528624970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 201143372RN
- Practice address
- 32050 SW Willamette Way E
Wilsonville, OR 97070-9596 - Phone
- (503) 939-6243
- NPI assigned
- May 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 201143372RN | OR | Primary |
Addresses
Primary practice location
32050 SW Willamette Way E
Wilsonville, OR 97070-9596
Mailing address
32050 SW Willamette Way E
Wilsonville, OR 97070-9596
Phone (503) 939-6243
Other names 1
- Lisa Myers
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201143372RN | OR | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourishing Tots, LLC | Lactation Consultant | Current | Accepting new patients |
Locations
615 SE 1st Ave
Canby, OR 97013
Phone (503) 263-1212
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1528624970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32050 SW WILLAMETTE WAY E",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709596",
"telephone_number": "503-939-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32050 SW WILLAMETTE WAY E",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709596",
"telephone_number": "503-939-6243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "RN, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-11",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "OR",
"license": "201143372RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "MYERS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.