MEDICARE: EMPOWERED LACTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WL0100X	Lactation Consultant (Registered Nurse)
2	175T00000X	Peer Specialist
3	374J00000X	Doula
4	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1386573699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED LACTATION LLC

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

Provider Business Practice Location Address
First Line	:	3550 W AMAZON DR APT 3
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-4373
Country	:	US
Telephone Number	:	541-914-7413
Fax Number	:

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

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “EMPOWERED LACTATION LLC ” Practice Location

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