Individual provider · Type 1 NPI

Polly Gravely, M.S., LPC

Mental Health Counselor · Portland, OR

NPI number 1386003168 Active

Practice location

5319 SW Westgate Dr Ste 246
Portland, OR 97221-2434

Call (503) 388-5710 Map

Mailing address

4028 SW 53rd Pl
Portland, OR 97221-2015

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC4602 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1386003168

Polly Gravely, M.S., LPC's National Provider Identifier is 1386003168, issued on Feb 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 8, 2021.