MR. JASON RYAN GRISMORE (NPI# 1215329545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215329545 |
| Entity Type | Individual |
| Full Name | MR. JASON RYAN GRISMORE |
| Credential | CADC I CANDIDATE |
| Practice Address |
10362 Sw Mcdonald Tigard OR 97224 |
| Mailing Address |
1027 E. Burnside St. Portland OR 97214 |
| Practice Telephone | 5036240312 |
| Practice Fax Number | 5036393973 |
| Mailing Telephone | 5032398400 |
| Mailing Fax Number | 5032698407 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
10362 SW MCDONALD |
| City | TIGARD |
| State | OR |
| Zip Code | 97224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760875777 | Becky Coons | Counselor | 10362 Sw Mcdonald, Tigard, OR 97224 | 2015-03-16 |
| 1033501382 | Alice Halsey Clark | Registered Nurse | 10362 Sw Mcdonald, Tigard, OR 97224 | 2015-02-24 |
| 1134511488 | Leah Rose Franklin | Registered Nurse | 10362 Sw Mcdonald, Tigard, OR 97224 | 2015-02-24 |
| 1932591286 | Phoenix Horton-holmes Blickle | Registered Nurse | 10362 Sw Mcdonald, Tigard, OR 97224 | 2015-02-24 |
| 1871985192 | Rebecca Johanna Smith | Registered Nurse | 10362 Sw Mcdonald, Tigard, OR 97224 | 2015-02-24 |
| 1669864914 | Stacy Alexandra Schmidt | Registered Nurse | 10362 Sw Mcdonald, Tigard, OR 97224 | 2015-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1497284822 | Lorna Ann Gusner | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-06-08 |
| 1851848857 | Jasmine Veda Holder | Counselor | 12505 Sw North Dakota St, Tigard, OR 97223-3284 | 2016-09-07 |
| 1366846651 | Leanna Jones | Counselor | 10763 Sw Greenburg Rd Ste 100, Tigard, OR 97223 | 2014-10-15 |
| 1467644971 | Patty Ann Falkenstein | Counselor | 11895 Sw Greenburg Road, Tigard, OR 97223 | 2007-08-17 |
| 1821212713 | Devon A Mathews | Counselor | 11945 Sw Pacific Hwy, #113, Tigard, OR 97223-6469 | 2007-04-12 |
| 1740806579 | Sherry Beeler | Counselor | 10763 Sw Greenburg Rd Ste 100, Tigard, OR 97223-5492 | 2020-06-17 |
| 1275154957 | Christopher Brent Bucar | Counselor | 10763 Sw Greenburg Rd, Tigard, OR 97223-5492 | 2020-05-04 |
| 1295364693 | Mitchell W Jones | Counselor | 10763 Sw Greenburg Rd Ste 100, Tigard, OR 97223-5492 | 2020-04-07 |
| 1932732724 | Tonya Jean Inman | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2020-02-19 |
| Find all providers in TIGARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.