NPI Code Details Logo

NPI 1386573699

NPI 1386573699 : EMPOWERED LACTATION LLC : EUGENE, OR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386573699
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EMPOWERED LACTATION LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/14/2026
-----------------------------------------------------
    Last Update Date     |    05/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3550 W AMAZON DR APT 3 
-----------------------------------------------------
    City                 |    EUGENE
-----------------------------------------------------
    State                |    OR
-----------------------------------------------------
    Zip                  |    97405-4373
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    541-914-7413
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3550 W AMAZON DR APT 3 
-----------------------------------------------------
    City                 |    EUGENE
-----------------------------------------------------
    State                |    OR
-----------------------------------------------------
    Zip                  |    97405-4373
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    541-914-7413
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEMBER
-----------------------------------------------------
    Name                 |     ARIANA  MAY 
-----------------------------------------------------
    Credential           |    IBCLC, THW
-----------------------------------------------------
    Telephone            |    541-914-7413
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163WL0100X
-----------------------------------------------------
    Taxonomy Name        |    Lactation Consultant (Registered Nurse)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    175T00000X
-----------------------------------------------------
    Taxonomy Name        |    Peer Specialist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    374J00000X
-----------------------------------------------------
    Taxonomy Name        |    Doula
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    174N00000X
-----------------------------------------------------
    Taxonomy Name        |    Lactation Consultant (Non-RN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.