Adrienne Rose Koznek, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-99082 Issued in OR

Practice address

5440 SW Westgate Dr Ste 210
Portland, OR 97221

Phone

(503) 830-5257

Fax

(503) 893-3086

NPI assigned

Jun 20, 2016

Last updated

Mar 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Adrienne Rose Hershey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1992155089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 SW 84TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238404",
            "telephone_number": "503-830-5257",
            "fax_number": "503-893-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 SW WESTGATE DR STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97221",
            "telephone_number": "503-830-5257",
            "fax_number": "503-893-3086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7455 SW Bridgeport Rd",
            "address_2": "Suite E240",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972247252",
            "country_code": "US",
            "telephone_number": "503-344-1345",
            "fax_number": "503-465-3821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7455 SW Bridgeport Rd",
            "address_2": "Suite E240",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972247252",
            "country_code": "US",
            "telephone_number": "503-344-1345",
            "fax_number": "503-465-3821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZNEK",
        "first_name": "ADRIENNE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "OR",
            "license": "L-99082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "HERSHEY",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Edward Kozel, LAC
• Alina D Kozinchenko
• Melissa Koziol, PA-C
• Amber Kozlov
• Eva B Kozlowski, LE, CPE
• Faye Kozonis
• Jeff A. Kraakevik, MD
• Paul Krabill, O.D.
• Sophia Madelynn Krachuk
• Danielle Lynn Kraemer, PA-C

• Lactation Consultant (Non-RN) in Portland, OR
• Providers in Portland, OR by specialty
• Lactation Consultant (Non-RN) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.