OrganizationActive
Northwest Mothers Milk Bank
NPI 1215471909 · Parenteral & Enteral Nutrition Supplies (DME) · Tigard, OR
Provider details
- NPI number
- 1215471909
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Lesley Mondeaux, Executive Director(503) 332-0436
- License
- 542742-96 (OR)
Specialties & taxonomies
Suppliers
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15875 Sw 74th Ave Ste 100
Tigard, OR 97224-7934
Phone: (503) 469-9555
Fax: (503) 469-0962
Street-level locationGet directions
Mailing address
15875 Sw 74th Ave Ste 100
Tigard, OR 97224-7934
Registry dates
- Enumerated
- 2016-12-14
- Last updated
- 2020-04-22
- Certified
- 2020-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.