Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mom by Lj

Organization Specialist · NPI 1942734736

Mom by Lj is a Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

2906 N Willamette Blvd
Portland, OR 97217-4073
Phone: (917) 715-9617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1169 (OR)

Record details

NPI number1942734736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Hulick — Owner · (917) 715-9617
NPI enumeratedApril 18, 2017
Last updated in NPPESApril 18, 2017
Mailing address2906 N Willamette Blvd, Portland, OR 97217-4073

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