Active NPI
Kerry Ellen Grether
- Lactation Consultant (Non-RN)
- Portland, OR
National Provider Identifier
1750246872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 10265111
- Practice address
- 3928 NE 13TH Ave
Portland, OR 97212-1305 - Phone
- (503) 956-2579
- NPI assigned
- Dec 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 10265111 | OR | Primary |
Addresses
Primary practice location
3928 NE 13TH Ave
Portland, OR 97212-1305
Mailing address
3928 NE 13TH Ave
Portland, OR 97212-1305
Phone (503) 956-2579
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10265111 | OR | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766188800000",
"number": "1750246872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3928 NE 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121305",
"telephone_number": "503-956-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3928 NE 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121305",
"telephone_number": "503-956-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRETHER",
"first_name": "KERRY",
"middle_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-20",
"last_updated": "2025-12-20",
"certification_date": "2025-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": "OR",
"license": "10265111",
"primary": true
}
],
"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 Dec 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.