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MARK GRUDLE
NPI 1679434989
Peer Specialist in Tigard, OR

Active since November 18, 2025
10362 SW MCDONALD ST, TIGARD, OR 97224(971) 202-7964 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Grudle NPPES

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

MARK GRUDLE (NPI 1679434989) is an individual peer specialist in Tigard, Oregon and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1679434989
Entity TypeIndividual
Primary Taxonomy175T00000X
Provider Legal NameMARK GRUDLE
Location Address10362 SW MCDONALD STTigard, OR 97224-4863
Mailing Address1027 E Burnside StPortland, OR 97214-1328 · (503) 239-8400
Phone(971) 202-7964
Sole ProprietorNo
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1679434989 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, Tigard, OR 97224
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Other Providers at the Same Location NPPES 18

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

ARAM BERESKY
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (503) 624-0312
JESSICA SIMONES
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, OR 97224
Washington County (503) 624-0312
TATIANA LYN POZNEKOFF CADC 1
Counselor (Addiction (Substance Use Disorder))
10362 SW MCDONALD ST
TIGARD, 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
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
JESSICA HOLLIS
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

Frequently Asked Questions

What is Mark Grudle's NPI number?

The NPI number assigned to this healthcare provider is 1679434989, enumerated as an "individual" on November 18, 2025.

Where is the provider located?

The provider is located at 10362 SW MCDONALD ST TIGARD, OR 97224 and the phone number is (971) 202-7964.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.