Active NPI
Meredith Brooke Mance, CPM, LDM, IBCLC
- Midwife
- McMinnville, OR
National Provider Identifier
1629576046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- DEM-LD-10195740
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10051405 | OR | MD | Registered Nurse |
| L-149934 | OR | MD | Lactation Consultant (Registered Nurse) |
| DEM-LD-10195740 | OR | MD | Midwife |
| 99320 | TX | MD | Midwife |
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.