NORTHWEST MOTHERS MILK BANK
NPI 1215471909
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Tigard, OR

Active since December 14, 2016
15875 SW 74TH AVE STE 100, TIGARD, OR 97224(503) 469-9555(503) 469-0962 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2020, Dec 14, 2016 (2 updates tracked since 2016).

About Northwest Mothers Milk Bank NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST MOTHERS MILK BANK (NPI 1215471909) is a healthcare organization registered as a parenteral & enteral nutrition in Tigard, Oregon and active in the NPI registry since December 2016. The organization lists Lesley L Mondeaux, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215471909
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NameNORTHWEST MOTHERS MILK BANK
Location Address15875 SW 74TH AVE STE 100Tigard, OR 97224-7934
Mailing Address15875 Sw 74th Ave Ste 100Tigard, OR 97224-7934 · (503) 469-9555 · Fax (503) 469-0962
Fax(503) 469-0962
Organization SubpartNo
Authorized OfficialLesley L MondeauxExecutive Director · (503) 332-0436
Enumeration DateDecember 14, 2016
Last NPPES UpdateApril 22, 20202 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
NPI 1215471909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code332BP3500X
License Licensed in OR · 542742-96
Also ListedVoluntary or CharitableTaxonomy 251V00000X · License 542742-96 (OR)
15875 SW 74TH AVE STE 100, Tigard, OR 97224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Mothers Milk Bank's NPI number?

The NPI number for Northwest Mothers Milk Bank is 1215471909. It was assigned to this organization in the NPPES registry on December 14, 2016.

Where is Northwest Mothers Milk Bank located?

Northwest Mothers Milk Bank is located at 15875 SW 74th Ave Ste 100, Tigard, OR 97224. The listed phone number is (503) 469-9555.

What is Northwest Mothers Milk Bank's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Northwest Mothers Milk Bank was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.