POLLY GRAVELY M.S. LPC NPI 1386003168

NPI Information

  • NPI: 1386003168
  • Provider Name: POLLY GRAVELY, M.S., LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 5319 SW WESTGATE DR STE 246
    PORTLAND, OR
    ZIP 97221
  • Phone: (503) 388-5710

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NPI Details

Polly Gravely, M.S., LPC is a mental health counselor in Portland, OR. Polly Gravely, M.S., LPC NPI is 1386003168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5319 SW WESTGATE DR STE 246
PORTLAND, OR
ZIP 97221-434
Phone: (503) 388-5710

The enumeration date for this NPI number is 2/22/2016 and was last updated on 6/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthC4602OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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