Patricia Olea Bradley, RN, IBCLC
Lactation Consultant, Non-RN in Portland, OR. Individual provider (NPI-1).
NPI number1225895337
StatusActive
Last updated in NPPESMar 5, 2024
Details
- NPI
- 1225895337
- Entity type
- Individual (NPI-1)
- Name
- Patricia Olea Bradley
- Credential
- RN, IBCLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2024
- Certification date
- Mar 5, 2024
- Last updated
- Mar 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-144166 | – | Yes |
| 163WL0100X | Registered Nurse, Lactation Consultant | 10020077 | OR |
Practice location
825 Nw 22nd Ave Apt 3Portland, OR 97210-3001
Phone 775-224-5670
Mailing address
825 Nw 22nd Ave Apt 3Portland, OR 97210-3001
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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