Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS GRADDY
ActiveALEXIS GRADDY is a Counselor healthcare provider located in OTIS, Oregon. NPI 1629765623 is currently active in the NPPES registry. Verify at CMS.
Counselor · OTIS, OR
Registration Details
- NPI Number
- 1629765623
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2023 (3.3049150849111 yrs)
- Last Updated
- Apr 19, 2023
- License
-
T-22-1690 (OR)
Practice Information
- Address
-
3955 SALMON RIVER HWYOTIS, OR, 973689778Browse OR providers · Browse ZIP 97368
- Phone
- 5416144437
- Fax
- 8889772106
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in OTIS, OR
| Name | Credential | NPI |
|---|---|---|
| APRIL SAMANTHA THOMPSON | CADC I | 1982870192 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.