MR. GRANT JUDSON GILL NPI 1427667328

NPI Information

NPI: 1427667328
Provider Name: MR. GRANT JUDSON GILL
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1817 16TH ST
NORTH BEND, OR
ZIP 97459
Phone: (541) 297-6230
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MR. Grant Judson Gill is a mental health counselor in North Bend, OR. MR. Grant Judson Gill NPI is 1427667328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1817 16TH ST
NORTH BEND, OR
ZIP 97459-629
Phone: (541) 297-6230

The enumeration date for this NPI number is 7/27/2020 and was last updated on 7/27/2020.

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
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CMK7119B	MEDICAID	OREGON

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: 5/5/2024

NPI Synchronization or Removal

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