Lara Greenberg, IBCLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

L-97275 Issued in OR

Practice address

4004 SE Woodstock Blvd
Bliss Lactation
Portland, OR 97202

Phone

(503) 703-3011

NPI assigned

Jul 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831612381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 SW 56TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193221",
            "telephone_number": "503-703-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 SE WOODSTOCK BLVD",
            "address_2": "BLISS LACTATION",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-703-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "LARA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "L-97275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "L-97275",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Lewis Greenberg, M.D.
• Chaviva Greenberg, MSW CSWA
• Daniel Greenberg, MD
• David C Greenberg, D.P.M.
• Jonathan Amar Greenberg, MD
• Laura Hope Greenberg, MD
• Mathew Scott Greenberg, MD
• Isaac Greenblatt
• Greenbriar Psychotherapy Inc
• Amy Suzanne Greene, M.D.

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.