SUNYA GRANTHAM (NPI# 1871113415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871113415 |
| Entity Type | Individual |
| Full Name | SUNYA GRANTHAM |
| Credential | LFMT-INTERN |
| Practice Address |
14511 Westlake Dr Lake Oswego OR 97035-7783 |
| Mailing Address |
22185 Sw Stafford Rd Tualatin OR 97062-8727 |
| Practice Telephone | 5036381603 |
| Mailing Telephone | 5036381603 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
R5983 | OR | Behavioral Health & Social Service Providers |
| Street Address |
14511 WESTLAKE DR |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-7783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326210758 | Denise M Shulman | Counselor | 14511 Westlake Dr, Lake Oswego, OR 97035-7783 | 2008-03-26 |
| 1942814025 | Ben Mosebach | Counselor | 14511 Westlake Dr, Lake Oswego, OR 97035-7783 | 2020-09-04 |
| 1508321746 | Wlm | Massage Therapist | 14511 Westlake Dr, Lake Oswego, OR 97035-7783 | 2019-02-01 |
| 1548710148 | Seth S Williams Psyd LLC | Psychologist | 14511 Westlake Dr, Suite 120, Lake Oswego, OR 97035-7783 | 2016-10-06 |
| 1871043786 | Susan Pinkley | Counselor | 14511 Westlake Dr, Lake Oswego, OR 97035-7783 | 2016-10-04 |
| 1063860377 | Deni R Buss, Lmt | Clinic/Center | 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035-7783 | 2016-05-26 |
| 1942687538 | Christine Marie Walter | Technician, Other | 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035-7783 | 2015-05-03 |
| 1033509120 | Alison Joy Kelley | Massage Therapist | 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035-7783 | 2015-01-28 |
| 1679901102 | Cara A Curtis | Chiropractor | 14511 Westlake Dr, Suite 148, Lake Oswego, OR 97035-7783 | 2013-10-18 |
| 1760758361 | J M Bussanich, LLC | Chiropractor | 14511 Westlake Dr, Suite 148, Lake Oswego, OR 97035-7783 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978819 | Holly D Altson | Counselor | 4925 Parkview Dr Apt B, Lake Oswego, OR 97035-2441 | 2020-07-01 |
| 1033748306 | Svetlana V Poroshina | Counselor | 5225 Jean Rd Apt 505, Lake Oswego, OR 97035-7155 | 2020-04-07 |
| 1730712688 | Nicole Kammerlocher | Counselor | 14523 Westlake Dr Ste 17, Lake Oswego, OR 97035-7700 | 2020-02-19 |
| 1679054423 | Holly Shumway Counseling | Counselor | 15100 Boones Ferry Rd Ste 850, Lake Oswego, OR 97035-3467 | 2018-08-28 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1396245858 | Apricity Counseling & Consultation, LLC | Counselor | 630 B Ave Ste 9, Lake Oswego, OR 97034-2958 | 2018-02-20 |
| 1851824890 | Amber Johnson Babar | Counselor | Centria Healthcare C/o Teirnie Hemelstrand, 5 Centerpoint Drive, Suite 400, Lake Oswego, OR 97035-8601 | 2017-04-06 |
| 1386098911 | Janice Johnson | Counselor | 40 Mcnary Pkwy, Lake Oswego, OR 97035-1214 | 2016-04-20 |
| 1174993117 | Cara Hart | Counselor | 5005 Meadows Rd Ste 405, Lake Oswego, OR 97035-4291 | 2015-10-02 |
| 1790109064 | Kathryn Sporing | Counselor | 14523 Westlake Dr # 19, Lake Oswego, OR 97035-7700 | 2014-02-07 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on SUNYA GRANTHAM.
| 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.