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

Breanna Grisham, IBCLC, RDMS

Individual provider Lactation Consultant (Non-RN) · NPI 1962111427

Breanna Grisham, IBCLC, RDMS is a Lactation Consultant (Non-RN) in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

8514 N Newman Ave
Portland, OR 97203-3568
Phone: (503) 442-3653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X

Record details

NPI number1962111427
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC , RDMS
Sole proprietorNo
NPI enumeratedNovember 23, 2022
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

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