Healthcare Provider Details

I. General information

NPI: 1386573699
Provider Name (Legal Business Name): EMPOWERED LACTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 W AMAZON DR APT 3
EUGENE OR
97405-4373
US

IV. Provider business mailing address

3550 W AMAZON DR APT 3
EUGENE OR
97405-4373
US

V. Phone/Fax

Practice location:
  • Phone: 541-914-7413
  • Fax:
Mailing address:
  • Phone: 541-914-7413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: ARIANA MAY
Title or Position: MEMBER
Credential: IBCLC, THW
Phone: 541-914-7413