1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BREAH JANICE ETHERLY
NPI 1619881430
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since September 29, 2026
4425 NE BROADWAY STE 200, PORTLAND, OR 97213(503) 258-4555(971) 351-9144 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Breah Janice Etherly NPPES

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

BREAH JANICE ETHERLY (NPI 1619881430) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1619881430
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBREAH JANICE ETHERLY
Location Address4425 NE BROADWAY STE 200Portland, OR 97213-1425
Mailing Address4425 Ne Broadway Ste 200Portland, OR 97213-1425 · (503) 258-4555 · Fax (971) 351-9144
Phone(503) 258-4555
Fax(971) 351-9144
Sole ProprietorNo
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1619881430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4425 NE BROADWAY STE 200, Portland, OR 97213
Open in Google Maps ↗

Other Providers at the Same Location NPPES 19

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

MANASVI RAIYANI
Student in an Organized Health Care Education/Training Program
4425 NE BROADWAY STE 200
PORTLAND, OR 97213
Multnomah County (503) 258-4555
ANNA EDWARDS MSW
Social Worker
4425 NE BROADWAY STE 200
PORTLAND, OR 97213
Multnomah County (503) 258-4555
STEVEN MORENO
Social Worker (Clinical)
4425 NE BROADWAY STE 200
PORTLAND, OR 97213
Multnomah County (970) 989-3490
ALISON HARRIOT
Art Therapist
4425 NE BROADWAY STE 200
PORTLAND, OR 97213
Multnomah County (503) 258-4555
NICHOLAS MICHAEL KRAMER LCSW
Social Worker (Clinical)
4425 NE BROADWAY STE 200
PORTLAND, OR 97213
Multnomah County (503) 258-4529
EMILIE SPALDING
Counselor (Mental Health)
4425 NE BROADWAY STE 200
PORTLAND, OR 97213
Multnomah County (503) 258-4555
BENJAMIN ROBERT SNIDER M.A.
Counselor (Mental Health)
4425 NE BROADWAY STE 200
PORTLAND, OR 97213
Multnomah County (503) 258-4200
RACHEL BLODGETT LPC
Counselor (Professional)
4425 NE BROADWAY STE 200
PORTLAND, OR 97213
Multnomah County (503) 258-4555

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 Breah Etherly's NPI number?

The NPI number for Breah Etherly is 1619881430. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Where is Breah Etherly located?

Breah Etherly practices at 4425 NE Broadway Ste 200, Portland, OR 97213. The listed phone number is (503) 258-4555.

What is Breah Etherly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Breah Etherly was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.