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MR. JASON RYAN GRISMORE CADC I CANDIDATE
NPI 1215329545
Counselor - Addiction (Substance Use Disorder) in Tigard, OR

Active since February 24, 2015
10362 SW MCDONALD, TIGARD, OR 97224(503) 624-0312(503) 639-3973 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jason Ryan Grismore Cadc I Candidate NPPES

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

MR. JASON RYAN GRISMORE CADC I CANDIDATE (NPI 1215329545) is an individual addiction (substance use disorder) provider in Tigard, Oregon and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1215329545
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JASON RYAN GRISMORECredential: CADC I CANDIDATE
Location Address10362 SW MCDONALDTigard, OR 97224
Mailing Address1027 E. Burnside St.Portland, OR 97214 · (503) 239-8400 · Fax (503) 269-8407
Phone(503) 624-0312
Fax(503) 639-3973
Sole ProprietorNo
Enumeration DateFebruary 24, 2015
✔ NPI 1215329545 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
10362 SW MCDONALD, Tigard, OR 97224
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Other Providers at the Same Location NPPES 6

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

ALICE HALSEY CLARK RN
Registered Nurse
10362 SW MCDONALD
TIGARD, OR 97224
Washington County (503) 624-0312
LEAH ROSE FRANKLIN RN
Registered Nurse
10362 SW MCDONALD
TIGARD, OR 97224
Washington County (503) 624-0312
STACY ALEXANDRA SCHMIDT RN
Registered Nurse
10362 SW MCDONALD
TIGARD, OR 97224
Washington County (503) 624-0312
MISS BECKY COONS CADC I CANDIDATE
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD
TIGARD, OR 97224
Washington County (503) 624-0312
REBECCA JOHANNA SMITH RN
Registered Nurse
10362 SW MCDONALD
TIGARD, OR 97224
Washington County (503) 624-0312
PHOENIX HORTON-HOLMES BLICKLE R.N.
Registered Nurse
10362 SW MCDONALD
TIGARD, OR 97224
Washington County (503) 624-0312

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 Jason Grismore's NPI number?

The NPI number for Jason Grismore is 1215329545. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Jason Grismore located?

Jason Grismore practices at 10362 SW Mcdonald, Tigard, OR 97224. The listed phone number is (503) 624-0312.

What is Jason Grismore'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 Jason Grismore was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.