Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053997254 Individual Practitioner Female Practitioner

Angela Len Lull , IBCLC, LMT, CST, DOULA

Lactation Consultant, Non-RN • Bend, OR

Professional Overview & Biography Verified Profile Summary

Angela Lull, IBCLC, LMT, CST, DOULA is a registered healthcare professional specializing in Lactation Consultant, Non-RN in Bend, OR. Practice services are available at 2200 NE PROFESSIONAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 Ne Professional Ct

Bend, OR 977016063

Telephone 5413896313
Fax 5413898760
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Lactation Consultant, Non-RN in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Bend, OR (98 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-14
Lactation Consultant, Non-RN Primary Specialty

NUCC Taxonomy Code: 174N00000X

State License OR LC-LC-10214114

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License OR 26277

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Shelanna Burton

Community Health Worker

NPI 1043825490
NPI 1073599452

Doctor of Medicine (M.D.)

Audrey Hester , RD, LD

Dietitian, Registered

NPI 1124603790

Registered Dietitian, Licensed Dietitian

NPI 1134105513

Doctor of Medicine (M.D.)

NPI 1144683566

Doctor of Medicine (M.D.)

NPI 1144754201

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 17, 2022

Registered at 2200 NE PROFESSIONAL CT, BEND, OR 977016063 (Tel: 5413896313)

📍
Updated Business Mailing Address May 17, 2022

Registered at 2200 NE PROFESSIONAL CT, BEND, OR 977016063 (Tel: 5413896313)

NPI Profile Active March 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2021

Registered at 4004 SE WOODSTOCK BLVD, PORTLAND, OR 972027662 (Tel: 5037770444)

📍
Updated Business Mailing Address March 19, 2021

Registered at 4004 SE WOODSTOCK BLVD, PORTLAND, OR 972027662 (Tel: 5037770444)

👤
Provider Name / Credentials Updated March 19, 2021

Recorded as ANGELA LULL, IBCLC, LMT,CST,DOULA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2021

Massage Therapist (License #26277 in OR)

🟢
Initial NPI Registration & Enumeration March 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053997254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2021
Last Update: May 17, 2022
Sole Proprietor: Yes

Mailing Address

2200 Ne Professional Ct

Bend, OR 977016063

Phone: 5413896313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.