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

Individual provider Family Nurse Practitioner · NPI 1205828936

Roxanne Ruyle Griswold, FNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2000, 26 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
26
Licensed in
OR
In the registry since
2005
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4805 NE Glisan St Ste 6N40
Portland, OR 97213-2933
Phone: (503) 215-5696
Fax: (503) 215-5695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20005003NP-PP (OR)

Record details

NPI number1205828936
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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