DEANNA GRANACKI


Address: 777 Murphy Rd, Medford, OR 97504-8425
Phone: 5417722763

DEANNA GRANACKI (NPI# 1205458072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205458072
Entity Type Individual
Full Name DEANNA GRANACKI
Practice Address 777 Murphy Rd
Medford
OR 97504-8425
Practice Telephone 5417722763
Practice Fax Number 5417343164
Mailing Telephone 5417722763
Mailing Fax Number 5417343164
Enumeration Date 2020-05-14
Last Update Date 2020-05-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 777 MURPHY RD
City MEDFORD
State OR
Zip Code 97504-8425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225241441 Crc Health Oregon, LLC Clinic/Center 777 Murphy Rd, Medford, OR 97504-8425 2007-05-07
1144831991 Shawn Sorensen Counselor 777 Murphy Rd, Medford, OR 97504-8425 2020-08-14
1619588464 Terry Darlene Hansen Counselor 777 Murphy Rd, Medford, OR 97504-8425 2020-08-14
1801411889 Kelly Mcevilly Counselor 777 Murphy Rd, Medford, OR 97504-8425 2020-06-15
1801416466 Jamie Bradford Counselor 777 Murphy Rd, Medford, OR 97504-8425 2020-04-23
1528697596 Jacob James Henderson Counselor 777 Murphy Rd, Medford, OR 97504-8425 2020-04-02
1366076333 Brittany L Jones Registered Nurse 777 Murphy Rd, Medford, OR 97504-8425 2020-02-27
1811529647 Rachele Bedsole Counselor 777 Murphy Rd, Medford, OR 97504-8425 2020-02-10
1487285425 Laurel Rose Pew Counselor 777 Murphy Rd, Medford, OR 97504-8425 2020-01-29
1114561925 Keriann Ensworth Licensed Practical Nurse 777 Murphy Rd, Medford, OR 97504-8425 2019-11-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
Find all providers in zip 97504

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124685870 Tracy L Sunde Counselor 512 4th St Sw, Medford, MN 55049-9568 2019-05-28
1245737956 Larkspur Counseling LLC Counselor 328 S Central Ave Ste 212, Medford, OR 97501-7274 2018-04-09
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1255875654 Danielle E Peterson Counselor 429 W Broadway Ave, Medford, WI 54451-1608 2016-12-05
1376099523 Patricia Mcatee Counselor 243 N Holly St, Apt 1, Medford, OR 97501-5603 2016-08-28
1437512449 Sage Bosch Counselor 1003 E Main St # 104, Medford, OR 97504-7448 2016-03-29
1114385853 April Collins-macauley Counselor 234 W 5th St, Medford, OR 97501-2611 2016-02-09
1154714418 Marykay Powell Counselor 4175 Cedar Ln, Medford, OR 97501-9611 2015-03-11
1699163931 Violeta Iguchi Counselor 3501 Excel Dr Ste 225, Medford, OR 97504-8067 2015-01-08
1790109049 Ellen Lynch Counselor 3251 Route 112 Ste 2, Medford, NY 11763-1446 2014-02-06
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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