Columbia Gorge Midwifery

Primary specialty

MidwifeTaxonomy code 176B00000X

License

10113722 Issued in OR

Legal business name

COLUMBIA GORGE MIDWIFERY

Practice address

2324 Freedom Dr
Hood River, OR 97031-8671

Phone

(541) 490-3140

Fax

(541) 386-8365

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynette Tilley, CPM,LDMNPI 1073693115

Title

Owner

Phone

(541) 490-3140

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynette Tilley, CPM,LDM

  • Midwife
  • Hood River, OR
  • NPI 1073693115
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790865855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 FREEDOM DR",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970318671",
            "telephone_number": "541-490-3140",
            "fax_number": "541-386-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 FREEDOM DR",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970318671",
            "telephone_number": "541-490-3140",
            "fax_number": "541-386-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA GORGE MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-490-3140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM,LDM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "OR",
            "license": "10113722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Gorge Counseling LLC
• Columbia Gorge Medical Center PC (Columbia Gorge Family Medicine)
• Columbia Gorge Medical Center PC (Columbia Gorge Family Medicine)
• Columbia Gorge Medical Imaging, LLC
• Columbia Gorge Mental Health Counseling, LLC
• Columbia Gorge Physical Therapy Inc
• Columbia Gorge Postpartum Support
• Columbia Pain Management, Inc.
• Columbia Pain Management, LLC
• Columbia River Chiropractic LLC

• Midwife in Hood River, OR
• Providers in Hood River, OR by specialty
• Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.