DEIDRA GRAVINA
NPI 1124506480
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Q: What is Deidra Gravina's NPI number?

The NPI number for Deidra Gravina is 1124506480. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Q: What is Deidra Gravina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Deidra Gravina was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2018

6926 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661(360) 993-3000 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Deidra Gravina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIDRA GRAVINA (NPI 1124506480) is an individual addiction (substance use disorder) provider in Vancouver, Washington and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1124506480

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameDEIDRA GRAVINA

Location Address6926 E FOURTH PLAIN BLVDVancouver, WA 98661-7254

Mailing AddressPo Box 1337Vancouver, WA 98666-1337 · (360) 993-3000

Phone(360) 993-3000

Sole ProprietorNo

Enumeration DateJuly 30, 2018

✔ NPI 1124506480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

6926 E FOURTH PLAIN BLVD, Vancouver, WA 98661

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MCMILLAN

Counselor (Mental Health)

6926 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661

Clark County (360) 993-3189

MS. JETTA KIMBERLY LUCIANO CDP

Counselor (Addiction (Substance Use Disorder))

6926 E FOURTH PLAIN BLVD, SUITE #100
VANCOUVER, WA 98661

Clark County (360) 993-3000

DAWNELL BROECKEL

Counselor (Addiction (Substance Use Disorder))

6926 E FOURTH PLAIN BLVD, SUITE 100
VANCOUVER, WA 98661

Clark County (360) 993-3208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidra Gravina's NPI number?

The NPI number for Deidra Gravina is 1124506480. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Deidra Gravina located?

Deidra Gravina practices at 6926 E Fourth Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 993-3000.

What is Deidra Gravina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Deidra Gravina was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.