Individual
MARGARET LEE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM, IBCLC
Contact information
Practice address
470 SE MORGAN LN, MCMINNVILLE, OR 97128-8906
(503) 472-7135
Mailing address
470 SE MORGAN LN, MCMINNVILLE, OR 97128-8906
(503) 472-7135
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
10193191
OR
176B00000X
Midwife
Primary
10128083
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08090031
CERTIFIED PROFESSIONAL MIDWIFE (CPM)
—
01
—
10128083
LICENSED DIRECT-ENTRY MIDWIFE (LDM)
OR
01
—
10193191
LICENSED LACTATION CONSULTANT, IBCLC
OR
01
—
L-121669
INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANT
—
Enumeration date
07/20/2007
Last updated
09/16/2022
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