Active NPI
Lilliana Raven Redman, NCPT
- Phlebotomy Technician
- Dallas, OR
National Provider Identifier
1700738317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- NPCN-17598-15541
- Practice address
- 481 E Ellendale Ave Unit 30
Dallas, OR 97338-3139 - Phone
- (917) 804-6885
- NPI assigned
- Feb 14, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | NPCN-17598-15541 | OR | Primary |
Addresses
Primary practice location
481 E Ellendale Ave Unit 30
Dallas, OR 97338-3139
Mailing address
481 E Ellendale Ave Unit 30
Dallas, OR 97338-3139
Phone (917) 804-6885
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 |
|---|---|---|---|
| NPCN-17598-15541 | OR | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771027200000",
"number": "1700738317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 E ELLENDALE AVE UNIT 30",
"city": "DALLAS",
"state": "OR",
"postal_code": "973383139",
"telephone_number": "917-804-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 E ELLENDALE AVE UNIT 30",
"city": "DALLAS",
"state": "OR",
"postal_code": "973383139",
"telephone_number": "917-804-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMAN",
"first_name": "LILLIANA",
"middle_name": "RAVEN",
"credential": "NCPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-14",
"last_updated": "2026-02-14",
"certification_date": "2026-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OR",
"license": "NPCN-17598-15541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.