Individual provider Active NPI

Meredith Brooke Mance, CPM, LDM, IBCLC

  • Midwife
  • McMinnville, OR
National Provider Identifier
1629576046
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
DEM-LD-10195740 Issued in OR
Practice address
405 NE 3Rd St Ste 7
McMinnville, OR 97128-6219
Phone
(503) 495-3266
Fax
(971) 545-7774
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10051405 OR
Midwife 176B00000X DEM-LD-10195740 OR Primary
Lactation Consultant (Registered Nurse) 163WL0100X L-149934 OR
Midwife 176B00000X 99320 TX
Student in an Organized Health Care Education/Training Program 390200000X OR

Addresses

Primary practice location

405 NE 3Rd St Ste 7
McMinnville, OR 97128-6219

Mailing address

22205 Wallace Rd NW
Salem, OR 97304-9628
Phone (213) 448-2355

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
10051405ORMDRegistered Nurse
L-149934ORMDLactation Consultant (Registered Nurse)
DEM-LD-10195740ORMDMidwife
99320TXMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1629576046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22205 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973049628",
            "telephone_number": "213-448-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NE 3RD ST STE 7",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286219",
            "telephone_number": "503-495-3266",
            "fax_number": "971-545-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCE",
        "first_name": "MEREDITH",
        "middle_name": "BROOKE",
        "credential": "CPM, LDM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10051405",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEM-LD-10195740",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "L-149934",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99320",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.