Individual
KERRY ELLEN GRETHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3928 NE 13TH AVE, PORTLAND, OR 97212-1305
(503) 956-2579
Mailing address
3928 NE 13TH AVE, PORTLAND, OR 97212-1305
(503) 956-2579
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10265111
OR
Other
Enumeration date
12/20/2025
Last updated
12/20/2025
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