Individual provider Active NPI

Makenzy Lundgren, BIRTH DOULA

  • Doula
  • Portland, OR
National Provider Identifier
1659170660
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
113363 Issued in OR
Practice address
6200 SE King Rd
Portland, OR 97222-2891
Phone
(503) 267-3129
NPI assigned
Mar 11, 2025
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 113363 OR Primary
Peer Specialist 175T00000X 113363 OR

Addresses

Primary practice location

6200 SE King Rd
Portland, OR 97222-2891

Mailing address

11630 Dahlia Ter
Oregon City, OR 97045-6727
Phone (503) 559-6685

Other practice location 1

11630 Dahlia Ter
Oregon City, OR 97045-6727
Phone (503) 559-6685

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
113363ORMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1659170660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 DAHLIA TER",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970456727",
            "telephone_number": "503-559-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SE KING RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222891",
            "telephone_number": "503-267-3129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11630 Dahlia Ter",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970456727",
            "country_code": "US",
            "telephone_number": "503-559-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "MAKENZY",
        "credential": "BIRTH DOULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "113363",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "113363",
            "primary": false
        }
    ],
    "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 Jun 1, 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.