BREANNA FANNING
NPI 1306457189
Counselor - Mental Health in Portland, OR

Active since August 13, 2020
18417 SE OAK ST, PORTLAND, OR 97233(971) 727-8026 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna Fanning NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA FANNING (NPI 1306457189) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2020. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1306457189
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBREANNA FANNING
Location Address18417 SE OAK STPortland, OR 97233-4850
Mailing Address18417 Se Oak StPortland, OR 97233-4850
Sole ProprietorNo
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
NPI 1306457189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
18417 SE OAK ST, Portland, OR 97233

Secondary Practice Location 1

Location 13019 SE 21st AvePortland, OR 97202-2315 · Phone (918) 934-7605

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
18417 SE OAK ST
PORTLAND, OR 97233
Student in an Organized Health Care Education/Training Program
18417 SE OAK ST
PORTLAND, OR 97233
Case Manager/Care Coordinator
18417 SE OAK ST
PORTLAND, OR 97233
Counselor
18417 SE OAK ST
PORTLAND, OR 97233
Counselor
18417 SE OAK ST
PORTLAND, OR 97233
Student in an Organized Health Care Education/Training Program
18417 SE OAK ST
PORTLAND, OR 97233
Counselor
18417 SE OAK ST
PORTLAND, OR 97233
Peer Specialist
18417 SE OAK ST
PORTLAND, OR 97233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Fanning's NPI number?

The NPI number for Breanna Fanning is 1306457189. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Breanna Fanning located?

Breanna Fanning practices at 18417 SE Oak St, Portland, OR 97233. The listed phone number is (971) 727-8026.

What is Breanna Fanning's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Breanna Fanning was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.