Organization Active NPI

Love of Lactation

  • Lactation Consultant (Registered Nurse)
  • Beaverton, OR
National Provider Identifier
1699030932
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
200342213RN Issued in OR
Legal business name
LOVE OF LACTATION
Practice address
20334 SW Jay St
Beaverton, OR 97006-8026
Phone
(503) 848-3483
NPI assigned
Jul 12, 2012
Last updated
Jul 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Grace Vandomelen, RN, IBCLC
Title
Owner
Phone
(503) 848-3483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 200342213RN OR Primary

Addresses

Primary practice location

20334 SW Jay St
Beaverton, OR 97006-8026

Mailing address

20334 SW Jay St
Beaverton, OR 97006-8026
Phone (503) 848-3483

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1699030932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20334 SW JAY ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068026",
            "telephone_number": "503-848-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20334 SW JAY ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068026",
            "telephone_number": "503-848-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE OF LACTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "VANDOMELEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-848-3483",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "200342213RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.