Active NPI
Fortune Laura Lallande, CNM
- Advanced Practice Midwife
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 200150071NP
- Practice address
- 3181 SW Sam Jackson Park Road
Portland, OR 97239-3011 - Phone
- (503) 418-4500
- Fax
- (503) 494-3878
- NPI assigned
- Sep 15, 2006
- Last updated
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 200150071NP | OR | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 200150071NP | OR |
Addresses
Primary practice location
3181 SW Sam Jackson Park Road
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Road
Portland, OR 97239-3011
Phone (503) 418-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
1510 Division St
Ste 80
Oregon City, OR 97045
Phone (503) 655-0775
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
5050 NE Hoyt St
Ste 255
Portland, OR 97213
Phone (503) 215-6085
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
9155 SW Barnes Rd
Ste 730
Portland, OR 97225
Phone (503) 216-4033
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Providence Milwaukie Hospital
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
dba Providence Medical Group
- Medical Oncology Physician
- Portland, OR
- NPI 1437595857
-
dba Providence Portland Medical Center
- Clinical Pathology Physician
- Portland, OR
- NPI 1740732650
-
dba Prov St. Vincent Medical Ctr
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
dba Providence Portland Medical Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
dba Providence Milwaukie Hospital
- Clinical Pathology Physician
- Milwaukie, OR
- NPI 1578014239
-
- Psychiatric Hospital Unit
- Milwaukie, OR
- NPI 1659751360
-
dba Providence Medical Group
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
dba Providence Medical Group
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1962508499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK ROAD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-418-4500",
"fax_number": "503-494-3878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK ROAD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-418-4500",
"fax_number": "503-494-3878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALLANDE",
"first_name": "FORTUNE",
"middle_name": "LAURA",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "200150071NP",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "200150071NP",
"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 Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.