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AMANDA GRAVESON
NPI 1780263558
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 07, 2021PECOS Enrolled
900 NW LOVEJOY ST APT 1010, PORTLAND, OR 97209(707) 535-9438 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Amanda Graveson NPPES

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

AMANDA GRAVESON (NPI 1780263558) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780263558
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA GRAVESON
Location Address900 NW LOVEJOY ST APT 1010Portland, OR 97209-3483
Mailing Address900 Nw Lovejoy St Apt 1010Portland, OR 97209-3483 · (707) 535-9438
Phone(707) 535-9438
Sole ProprietorNo
Enumeration DateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1780263558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
900 NW LOVEJOY ST APT 1010, Portland, OR 97209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Graveson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Amanda Graveson's NPI number?

The NPI number for Amanda Graveson is 1780263558. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Amanda Graveson located?

Amanda Graveson practices at 900 NW Lovejoy St Apt 1010, Portland, OR 97209. The listed phone number is (707) 535-9438.

What is Amanda Graveson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Graveson enrolled in Medicare?

Yes. Amanda Graveson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Graveson was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.