Individual provider · Type 1 NPI

Grant Stanaway

Mental Health Counselor · Portland, OR

NPI number 1497575195 Active

Practice location

3550 N Interstate Ave
Portland, OR 97227-1196

Call (800) 813-2000 Map

Mailing address

PO Box 82362
Portland, OR 97282-0362

Other practice locations

  • 5125 Skyline Rd S, Salem, OR 97306-9427 · (503) 361-5400

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

235 other providers at this address

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1497575195

Grant Stanaway's National Provider Identifier is 1497575195, issued on Oct 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 18, 2024.