Individual provider Active NPI

Lauren Marie O'Duin, CNM

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1891147294
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP6068371 Issued in WA
Practice address
106 SW Woods St Ste a
Portland, OR 97201-4739
Phone
(406) 210-4890
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 201704067NP-PP OR
Lactation Consultant (Registered Nurse) 163WL0100X 201406751RN OR
Advanced Practice Midwife 367A00000X AP6068371 WA Primary

Addresses

Primary practice location

106 SW Woods St Ste a
Portland, OR 97201-4739

Mailing address

5651 Cascade St
West Linn, OR 97068-3217
Phone (503) 869-3819

Other practice location 1

1319 NE 134th St
#105
Vancouver, WA 98685-2717
Phone (360) 885-7926

Other identifiers 1

IdentifierTypeStateIssuer
AP60683731OtherWAARNP LICENSE

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
201406751RNORMDLactation Consultant (Registered Nurse)
201704067NP-PPORMDAdvanced Practice Midwife
AP6068371WAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891147294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 CASCADE ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683217",
            "telephone_number": "503-869-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SW WOODS ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014739",
            "telephone_number": "406-210-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 NE 134th St",
            "address_2": "#105",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986852717",
            "country_code": "US",
            "telephone_number": "360-885-7926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DUIN",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201704067NP-PP",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "201406751RN",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP6068371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "AP60683731",
            "state": "WA"
        }
    ],
    "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 Jul 21, 2022; 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.