SearchOregon1041C0700X

Tyler Grissom, LCSW

NPI 1700168804 · on the registry since 2011

Practice

Address
1200 Hilyard St Ste 310
Eugene, OR 97401
Phone
(458) 205-6709
Organisation at this address
Peace Health Pharmacy
Radiology Associates Pc
Radiology Associates, Pc
Peacehealth Medical Group
Peacehealth Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
183

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
171M00000X
104100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon