Individual
BREANNA GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, RDMS
Contact information
Practice address
8514 N NEWMAN AVE, PORTLAND, OR 97203-3568
(503) 442-3653
Mailing address
8514 N NEWMAN AVE, PORTLAND, OR 97203-3568
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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