GENA DELL GRANBERG F.N.P. NPI 1639384951

NPI Information

  • NPI: 1639384951
  • Provider Name: GENA DELL GRANBERG, F.N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 9775 SE SUNNYSIDE RD
    SUITE 200
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 654-8417

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NPI Details

Gena Dell Granberg, F.N.P. is a family nurse practitioner in Clackamas, OR. Gena Dell Granberg, F.N.P. NPI is 1639384951. 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:

9775 SE SUNNYSIDE RD
SUITE 200
CLACKAMAS, OR
ZIP 97015-739
Phone: (503) 654-8417
Fax: (503) 654-8218

The enumeration date for this NPI number is 5/11/2007 and was last updated on 7/8/2007.

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
1363LF0000XNurse PractitionerFamilyOREGONYes

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

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