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ALEXIS GRADDY
NPI 1629765623
Counselor in Otis, OR

Active since April 19, 2023
3955 SALMON RIVER HWY, OTIS, OR 97368(541) 614-4437(888) 977-2106 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexis Graddy NPPES

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

ALEXIS GRADDY (NPI 1629765623) is an individual counselor in Otis, Oregon, licensed in Oregon (T-22-1690) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1629765623
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameALEXIS GRADDY
Location Address3955 SALMON RIVER HWYOtis, OR 97368-9778
Mailing Address3955 Salmon River HwyOtis, OR 97368-9778 · (541) 614-4437 · Fax (888) 977-2106
Phone(541) 614-4437
Fax(888) 977-2106
Sole ProprietorNo
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1629765623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · T-22-1690
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3955 SALMON RIVER HWY, Otis, OR 97368
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Other Providers at the Same Location NPPES 13

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

MR. NICHOLAS JAMES IAMON RN
Registered Nurse (General Practice)
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
JASMINE DEELENE CHRISTIANSEN
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
MRS. JAMAYCA JASMINE NELSON RN
Registered Nurse (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
MRS. BRANDIE MARIE RANDLEMAN CIT
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
DANA RUBY VARGAS CADC-R
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
AMANDA MAREE FREEMAN CADC-R
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
SARAH LYNN HOSTLER
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
SHEILA RUTH PETERSEN CADC-R
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437

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 Alexis Graddy's NPI number?

The NPI number for Alexis Graddy is 1629765623. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Alexis Graddy located?

Alexis Graddy practices at 3955 Salmon River Hwy, Otis, OR 97368. The listed phone number is (541) 614-4437.

What is Alexis Graddy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Alexis Graddy was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.