DOUGLAS WILLIAM GRISSOM (NPI# 1932326493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932326493 |
| Entity Type | Individual |
| Full Name | DOUGLAS WILLIAM GRISSOM |
| Credential | MD |
| Practice Address |
1151 May St Suite 201 Hood River OR 97031-1526 |
| Mailing Address |
Po Box 3390 Portland OR 97208-3390 |
| Practice Telephone | 5413871300 |
| Practice Fax Number | 5413866224 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD153379 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 9966 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500690452 | 05 |
| Street Address |
1151 MAY ST SUITE 201 |
| City | HOOD RIVER |
| State | OR |
| Zip Code | 97031-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565487 | Brenda M Colfelt | Family Medicine | 1151 May St, Suite 201, Hood River, OR 97031-1526 | 2005-08-10 |
| 1871766600 | Richard Culwell Wiseman | Surgery | 1151 May St, Hood River, OR 97031-1526 | 2008-04-13 |
| 1164606810 | Joel Robert Swift | Nurse Anesthetist, Certified Registered | 1151 May St, Hood River, OR 97031-1526 | 2007-12-18 |
| 1942389408 | Stacey M Campbell | Physician Assistant | 1151 May St, Suite 201, Hood River, OR 97031-1526 | 2006-11-03 |
| 1780760355 | Christine Julie Olson | Surgery | 1151 May St, Hood River, OR 97031-1526 | 2006-10-27 |
| 1164513008 | Ryan C Petersen | Internal Medicine | 1151 May St, Hood River, OR 97031-1552 | 2006-09-27 |
| 1366533267 | John Garcia | Surgery | 1151 May St, Hood River, OR 97031-1552 | 2006-09-27 |
| 1033200936 | Michael George Hauty | Surgery | 1151 May St, Hood River, OR 97031-1552 | 2006-09-27 |
| 1346353158 | Maria Czar Mccormick | Family Medicine | 1151 May St, Ste 201, Hood River, OR 97031-1526 | 2006-08-16 |
| 1578544011 | Karen L Ikins | Nurse Practitioner | 1151 May St, Suite 201, Hood River, OR 97031-1526 | 2005-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387823 | Soniclife.com LLC | Durable Medical Equipment & Medical Supplies | 1027 Industrial Suite C, Hood River, OR 97031 | 2020-02-04 |
| 1760947444 | Madison Bubb | Behavior Technician | 1270 Tucker Road, Hood River, OR 97031 | 2019-02-06 |
| 1972075976 | Echo Allergy Care | Allergy & Immunology | 1635 Eastside Rd, Hood River, OR 97031 | 2019-01-02 |
| 1720511926 | Ohsana Valle | Specialist/Technologist | 3242 Mud Alley Rd, Hood River, OR 97031 | 2017-04-05 |
| 1811353287 | Carolina Cecelia Castro | Counselor | 965 Tucker Road, Hood River, OR 97031 | 2016-01-14 |
| 1093180523 | John Joseph Criswell | Pharmacist | 810 12th Street, Hood River, OR 97031 | 2015-12-09 |
| 1790167773 | Jessica Moore | Counselor | 3445 Dethman Ridge Road, Hood River, OR 97031 | 2015-06-25 |
| 1366830416 | Comice Sabbah | Massage Therapist | 105 E 5th St, Hood River, OR 97031 | 2014-12-23 |
| 1518364272 | Kimberly Althea Perez | Counselor | 1425 Rockfor Rd., Hood River, OR 97031 | 2014-11-24 |
| 1508287871 | Mid-columbia Center for Living | Community/Behavioral Health | 3686 Davis Drive, Hood River, OR 97031 | 2014-01-03 |
| Find all providers in zip 97031 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174889505 | Nora Claire Guschwan | Family Medicine | 310 Oak St Apt 206, Hood River, OR 97031-2166 | 2012-04-10 |
| 1144524489 | James B Wade | Family Medicine | 3413 Brookside Dr, Hood River, OR 97031-8537 | 2010-12-30 |
| 1578781761 | Gregory James Parker | Family Medicine | 849 Pacific Avenue, Hood River, OR 97031-1956 | 2007-04-23 |
| 1245241173 | Anil Rajani | Family Medicine | 1327 Columbia St, Hood River, OR 97031-1127 | 2006-08-09 |
| 1720051352 | James M Brauer | Family Medicine | 1021 June St Ste 102, Hood River, OR 97031-1516 | 2006-02-13 |
| 1962484592 | Glen R Patrizio | Family Medicine | 4355 W Ridge Dr, Hood River, OR 97031-7734 | 2005-11-18 |
| 1134118243 | Tracy Willett | Family Medicine | 1109 June St, Hood River, OR 97031-1512 | 2005-10-20 |
| 1356334791 | Laura A Starrett | Family Medicine | 1021 June St, Suite 103, Hood River, OR 97031-1516 | 2005-08-30 |
| 1578565487 | Brenda M Colfelt | Family Medicine | 1151 May St, Suite 201, Hood River, OR 97031-1526 | 2005-08-10 |
| 1588666598 | Tina D Castanares | Family Medicine | 1630 Woods Court, Hood River, OR 97031-2911 | 2005-08-10 |
| Find all providers in HOOD RIVER | ||||
| City | HOOD RIVER |
| Zip Code | 97031 |
Please comment or provide details below to improve the information on DOUGLAS WILLIAM GRISSOM.
| 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.