NPI 1376878314 · live from the CMS NPI Registry
Laurence Grisanti, PMHNP
Registered Nurse, Psych/Mental Health in Portland, OR. National Provider Identifier 1376878314, active.
NPI record
| NPI | 1376878314 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health 163WP0808X |
| Practice location | 522 Sw 5th Ave, Suite 1125, Portland, OR 97204 |
| Practice phone | 503-395-8326 |
| Mailing address | 1020 Sw Taylor St, Suite 700, Portland, OR 97205 |
| Enumerated | October 8, 2009 |
| Last updated | October 28, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health primary | 163WP0808X | 201050181NP (OR) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 200640886 RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.