CORY C GROSE
NPI 1962642157
Counselor - Mental Health in Portland, OR

The NPI number for Cory Grose is 1962642157. It was assigned to this individual provider in the NPPES registry on February 27, 2009.

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

The NPPES record for Cory Grose was last updated on February 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 27, 2009

4925 N ALBINA AVE, PORTLAND, OR 97217(503) 548-4922(503) 459-4495 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cory C Grose NPPES

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

CORY C GROSE (NPI 1962642157) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2009.

NPI1962642157

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCORY C GROSE

Location Address4925 N ALBINA AVEPortland, OR 97217-2609

Mailing Address4925 N Albina AvePortland, OR 97217-2609 · (503) 548-4922 · Fax (503) 459-4495

Fax(503) 459-4495

Sole ProprietorNo

Enumeration DateFebruary 27, 2009

✔ NPI 1962642157 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4925 N ALBINA AVE, Portland, OR 97217

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

Counselor (Mental Health)