CORY C GROSE NPI 1962642157

NPI Information

NPI: 1962642157
Provider Name: CORY C GROSE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4925 N ALBINA AVE
PORTLAND, OR
ZIP 97217
Phone: (503) 548-4922
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Cory C Grose is a mental health counselor in Portland, OR. Cory C Grose NPI is 1962642157. 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:

4925 N ALBINA AVE
PORTLAND, OR
ZIP 97217-609
Phone: (503) 548-4922
Fax: (503) 459-4495

The enumeration date for this NPI number is 2/27/2009 and was last updated on 2/27/2009.

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

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: 11/14/2023

NPI Synchronization or Removal

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