1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Peer Specialist
  6. NPI Profile

GREGORY M TORNHOLM
NPI 1225831019
Peer Specialist in Portland, OR

Active since March 28, 2025
10362 SW MCDONALD ST, PORTLAND, OR 97224(971) 202-7964(503) 639-3973 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory M Tornholm NPPES

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

GREGORY M TORNHOLM (NPI 1225831019) is an individual peer specialist in Portland, Oregon and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1225831019
Entity TypeIndividual
Primary Taxonomy175T00000X
Provider Legal NameGREGORY M TORNHOLM
Location Address10362 SW MCDONALD STPortland, OR 97224-4863
Mailing Address1027 E Burnside StPortland, OR 97214-1328 · (503) 239-8400 · Fax (503) 239-8406
Phone(971) 202-7964
Fax(503) 639-3973
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1225831019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
10362 SW MCDONALD ST, Portland, OR 97224
Open in Google Maps ↗

Other Providers at the Same Location NPPES 19

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

SHANA SIERRA CADC II
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (971) 369-5564
CANDY LYNN METELAK CRM, PRC, CADC I
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (971) 202-7964
JESSICA SIMONES
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (503) 624-0312
JAMES MARKOVICS
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (971) 202-7781
LESLIE DEE JOHNSON CADC I
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (503) 624-0312
SISII OZUNA
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
PORTLAND, OR 97224
Washington County (503) 624-0312
ALICIA HOWARD
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (503) 624-0312
MARK GRUDLE
Peer Specialist
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (971) 202-7964

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 Gregory Tornholm's NPI number?

The NPI number for Gregory Tornholm is 1225831019. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Gregory Tornholm located?

Gregory Tornholm practices at 10362 SW Mcdonald St, Portland, OR 97224. The listed phone number is (971) 202-7964.

What is Gregory Tornholm's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Gregory Tornholm was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.