Individual
WHITNEY LEE TILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
15760 NW OVERTON DR, BEAVERTON, OR 97006-5367
(971) 500-4771
Mailing address
15760 NW OVERTON DR, BEAVERTON, OR 97006-5367
(971) 500-4771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10059227
OR
163WL0100X
Lactation Consultant (Registered Nurse)
LC-LC-10235545
OR
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-LC-10235545
OR
Other
Enumeration date
10/19/2023
Last updated
05/01/2026
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