Grisham, Breanna

Grisham, Breanna is an individual health care provider with primary practice located at 8514 N Newman Ave , Portland OR 97203-3568. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Grisham, Breanna can be contacted via phone (503) 442-3653.

Contact Information

Primary practice address
8514 N Newman Ave Portland OR 97203-3568
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X

Profile Details

NPI number 1962111427
LBN Legal business name Grisham, Breanna
Credentials IBCLC, RDMS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2022
Last updated Nov 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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