FAYE GRIMMELL (NPI# 1629029921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629029921 |
| Entity Type | Individual |
| Full Name | FAYE GRIMMELL |
| Credential | ANP/GNP |
| Practice Address |
13200 Sw Pacific Hwy Tigard OR 97223 |
| Mailing Address |
6 Centerpointe Dr Ste 200 Lake Oswego OR 97035-8660 |
| Practice Telephone | 5035982000 |
| Practice Fax Number | 5036390920 |
| Mailing Telephone | 5037972273 |
| Mailing Fax Number | 5032348155 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
081001262N3 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MG0398734 | 01 | |
| OR | 090087 | 05 |
| Street Address |
13200 SW PACIFIC HWY |
| City | TIGARD |
| State | OR |
| Zip Code | 97223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386695732 | Katrenka R Rember | Family Medicine | 13200 Sw Pacific Hwy, Tigard, OR 97223 | 2006-05-12 |
| 1174054308 | Tiffany Vanna Quach | Registered Nurse | 13200 Sw Pacific Hwy, Tigard, OR 97223 | 2017-03-21 |
| 1538419775 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 13200 Sw Pacific Hwy, Tigard, OR 97223-4828 | 2012-09-14 |
| 1699037739 | Dawn Foster | Counselor | 13200 Sw Pacific Hwy, Tigard, OR 97223-4828 | 2012-06-14 |
| 1831400126 | Walter Paul Goebel | Family Medicine | 13200 Sw Pacific Hwy, Tigard, OR 97223 | 2010-07-01 |
| 1912142746 | Coral A Nash | Nurse Practitioner | 13200 Sw Pacific Hwy, Tigard, OR 97223-4828 | 2008-12-08 |
| 1962538496 | Robert C Young | Family Medicine | 13200 Sw Pacific Hwy, Tigard, OR 97223 | 2007-02-26 |
| 1093882607 | Sara Grafil | Physical Therapist | 13200 Sw Pacific Hwy, Tigard, OR 97223-4828 | 2006-11-29 |
| 1275634255 | Alison Pfeffer | Nurse Practitioner | 13200 Sw Pacific Hwy, Tigard, OR 97223-4828 | 2006-09-25 |
| 1194761817 | Shawn Ellington Mccann | Family Medicine | 13200 Sw Pacific Hwy, Tigard, OR 97223 | 2006-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1639302508 | Heather M Kitterman | Nurse Practitioner | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2009-08-26 |
| 1912142746 | Coral A Nash | Nurse Practitioner | 13200 Sw Pacific Hwy, Tigard, OR 97223-4828 | 2008-12-08 |
| 1831163807 | Stacy Epsteen | Nurse Practitioner | 10215 Sw Hall Blvd, Tigard, OR 97223-8809 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
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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.