Individual provider Active NPI

Terresa Diane Grace, CPM, LM

  • Midwife
  • Portland, OR
National Provider Identifier
1386300424
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
-LD-10267494 Issued in OR
Practice address
18470 SW Boones Ferry Rd Apt L206
Portland, OR 97224-7092
Phone
(150) 368-6909
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X -LD-10267494 OR Primary
Health & Wellness Coach 171400000X OR
Doula 374J00000X THW000108926 OR

Addresses

Primary practice location

18470 SW Boones Ferry Rd Apt L206
Portland, OR 97224-7092

Mailing address

18470 SW Boones Ferry Rd Apt L206
Portland, OR 97224-7092
Phone (503) 686-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
-LD-10267494ORMDMidwife
THW000108926ORMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Birth and Wellness CurrentSince Dec 10, 2023 Accepting new patients
Midwife Kira Midwife Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1386300424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18470 SW BOONES FERRY RD APT L206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247092",
            "telephone_number": "503-686-9099",
            "fax_number": "503-296-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18470 SW BOONES FERRY RD APT L206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247092",
            "telephone_number": "150-368-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "TERRESA",
        "middle_name": "DIANE",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "OR",
            "license": "-LD-10267494",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "THW000108926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.