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

RYAN GLEN GRISSOM
NPI 1730898404
Counselor - Mental Health in Portland, OR

Active since November 21, 2022
12511 SE RAYMOND ST, PORTLAND, OR 97236(503) 761-2580(503) 761-2548 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Glen Grissom NPPES

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

RYAN GLEN GRISSOM (NPI 1730898404) is an individual mental health provider in Portland, Oregon and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1730898404
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRYAN GLEN GRISSOM
Location Address12511 SE RAYMOND STPortland, OR 97236-3931
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 761-2580
Fax(503) 761-2548
Sole ProprietorNo
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1730898404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12511 SE RAYMOND ST, Portland, OR 97236
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

ELINA ELLA KING
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
ELIONA E DEAN
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
SHAUNTE D MYERS
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
JAZMIN AHSELN
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
RED K WILLIAMS
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
DESTINY TOPOLSKI
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (541) 858-8170
JOE ZICK KESSELLY
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580
DALE SWEARINGEN
Counselor (Mental Health)
12511 SE RAYMOND ST
PORTLAND, OR 97236
Multnomah County (503) 761-2580

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 Ryan Grissom's NPI number?

The NPI number for Ryan Grissom is 1730898404. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Ryan Grissom located?

Ryan Grissom practices at 12511 SE Raymond St, Portland, OR 97236. The listed phone number is (503) 761-2580.

What is Ryan Grissom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ryan Grissom was last updated on November 21, 2022. 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.