Grismore, Jason Ryan

Grismore, Jason Ryan is an individual health care provider with primary practice located at 10362 Sw Mcdonald , Tigard OR 97224. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Grismore, Jason Ryan can be contacted via phone (503) 624-0312.

Contact Information

Primary practice address
10362 Sw Mcdonald Tigard OR 97224
Phone: (503) 624-0312
Fax: (503) 639-3973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1215329545
LBN Legal business name Grismore, Jason Ryan
Credentials CADC I CANDIDATE
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers