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CASEY GRAD GRANBOIS
NPI 1154882132
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since March 30, 2019
812 SW WASHINGTON ST, PORTLAND, OR 97205(503) 622-8964 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casey Grad Granbois NPPES

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

CASEY GRAD GRANBOIS (NPI 1154882132) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (202100056) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1154882132
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCASEY GRAD GRANBOIS
Location Address812 SW WASHINGTON STPortland, OR 97205-3222
Mailing Address3225 Se 69th AvePortland, OR 97206-1948 · (503) 421-0235
Phone(503) 622-8964
Sole ProprietorNo
Enumeration DateMarch 30, 2019
Last NPPES UpdateApril 19, 2021
NPPES CertifiedApril 19, 2021
✔ NPI 1154882132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 202100056
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
812 SW WASHINGTON ST, Portland, OR 97205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

MS. ABBY LOTTRIDGE MAIER LCSW RN
Social Worker (Clinical)
812 SW WASHINGTON ST, SUITE 200
PORTLAND, OR 97205
Multnomah County (503) 228-8569
MR. DOUGLAS WILLIAM BROWN F.N.P.
Nurse Practitioner (Family)
812 SW WASHINGTON ST, SUITE 610
PORTLAND, OR 97205
Multnomah County (503) 253-6334

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 Casey Grad Granbois's NPI number?

The NPI number for Casey Grad Granbois is 1154882132. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Casey Grad Granbois located?

Casey Grad Granbois practices at 812 SW Washington St, Portland, OR 97205. The listed phone number is (503) 622-8964.

What is Casey Grad Granbois's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Casey Grad Granbois accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Casey Grad Granbois as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Casey Grad Granbois was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.