Provider Demographics
NPI:1235339987
Name:PORTER, MARGARET LEE (CPM, LDM, IBCLC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LEE
Last Name:PORTER
Suffix:
Gender:F
Credentials:CPM, LDM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 SE MORGAN LN
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-8906
Mailing Address - Country:US
Mailing Address - Phone:503-472-7135
Mailing Address - Fax:
Practice Address - Street 1:470 SE MORGAN LN
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-8906
Practice Address - Country:US
Practice Address - Phone:503-472-7135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10193191174N00000X
OR10128083176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
08090031OtherCERTIFIED PROFESSIONAL MIDWIFE (CPM)
OR10128083OtherLICENSED DIRECT-ENTRY MIDWIFE (LDM)
OR10193191OtherLICENSED LACTATION CONSULTANT, IBCLC
L-121669OtherINTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANT