Individual provider · Type 1 NPI

Mark Grudle

Peer Specialist · Tigard, OR

NPI number 1679434989 Active

Practice location

10362 SW Mcdonald St
Tigard, OR 97224-4863

Call (971) 202-7964 Map

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

20 other providers at this address

Other peer specialist providers in Tigard

See all in Tigard →

About NPI 1679434989

Mark Grudle's National Provider Identifier is 1679434989, issued on Nov 18, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tigard, OR. The record was last updated on Nov 18, 2025.