Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Grudle

Individual provider Peer Specialist · NPI 1679434989

Mark Grudle is a Peer Specialist in Tigard, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

10362 SW McDonald St
Tigard, OR 97224-4863
Phone: (971) 202-7964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1679434989
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address1027 E Burnside St, Portland, OR 97214-1328

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