Ryan Glen Grissom
Ryan Glen Grissom is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
12511 SE Raymond StPortland, OR 97236-3931
Phone: (503) 761-2580
Fax: (503) 761-2548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1730898404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 21, 2022 |
| Last updated in NPPES | November 21, 2022 |
| Certification date | November 21, 2022 |
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