KAREN E GRISHAM PSYCHIATRIC MENTAL H NPI 1578638953

NPI Information

NPI: 1578638953
Provider Name: KAREN E GRISHAM, PSYCHIATRIC MENTAL H
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1845 COMMERCIAL ST SE
SALEM, OR
ZIP 97302
Phone: (503) 363-1422
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Karen E Grisham, PSYCHIATRIC MENTAL H is a psychiatric/mental health nurse practitioner in Salem, OR. Karen E Grisham, PSYCHIATRIC MENTAL H NPI is 1578638953. 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:

1845 COMMERCIAL ST SE
SALEM, OR
ZIP 97302-203
Phone: (503) 363-1422
Fax: (503) 362-3310

The enumeration date for this NPI number is 11/21/2006 and was last updated on 1/25/2008.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	000025769N6 PMHNP PP	OREGON	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	106174	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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