MRS. CRYSTAL GRIFFY (NPI# 1902229958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902229958 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL GRIFFY |
| Credential | ANP-BC |
| Practice Address |
9135 Sw Barnes Rd Ste 461 Portland OR 97225 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032161150 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201394041NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1077 Gateway Loop, Springfield, OR 974771114 | 5417571651 |
| Street Address |
9135 SW BARNES RD STE 461 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780615625 | Herbert A Krob | Psychiatry & Neurology | 9135 Sw Barnes Rd Ste 461, Portland, OR 97225-6643 | 2006-07-06 |
| 1992249940 | Julie Rendon | Nurse Practitioner | 9135 Sw Barnes Rd Ste 461, Portland, OR 97225-6643 | 2016-12-09 |
| 1962889634 | Kishan Sunilbhai Patel | Psychiatry & Neurology | 9135 Sw Barnes Rd Ste 461, Portland, OR 97225-6643 | 2015-05-01 |
| 1235421033 | Justine Diane Brink | Psychiatry & Neurology | 9135 Sw Barnes Rd Ste 461, Portland, OR 97225-6643 | 2011-05-11 |
| 1578868022 | Tanya Scheibe-mirek | Nurse Practitioner | 9135 Sw Barnes Rd Ste 461, Portland, OR 97225-6643 | 2011-01-13 |
| 1275794802 | Bruce Robert Geryk | Psychiatry & Neurology | 9135 Sw Barnes Rd Ste 461, Portland, OR 97225-6643 | 2008-06-17 |
| 1972511491 | Felicia A. Ferguson | Psychiatry & Neurology | 9135 Sw Barnes Rd Ste 461, Portland, OR 97225-6643 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1154694941 | Donald Upton | Nurse Practitioner | 6959 N Fenwick Ave, Portland, OR 97217-5305 | 2012-02-09 |
| 1497073936 | Jeffrey Grimm | Nurse Practitioner | 1741 Nw 24th Ave, Portland, OR 97210 | 2010-05-07 |
| 1548469869 | Ashlyn J Cross | Nurse Practitioner | Department of Dermatology 3303 Bond Ave., Portland, OR 97239-4501 | 2007-07-17 |
| 1326256959 | Mary Thompson Pierce | Nurse Practitioner | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2533 | 2007-05-18 |
| 1669595237 | Shannon Marie Gwartney | Nurse Practitioner | 808 Sw 15th Ave., Portland, OR 97205 | 2007-04-09 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MRS. CRYSTAL GRIFFY.
| 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.