Michael Cory Grady, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1779 Issued in OR

Practice address

9500 SW Barbur Blvd
Ste 116
Portland, OR 97219-5466

Phone

(971) 227-7080

Fax

(503) 465-3797

NPI assigned

Nov 15, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1013218502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 SW BARBUR BLVD",
            "address_2": "STE 116",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195466",
            "telephone_number": "971-227-7080",
            "fax_number": "503-465-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 SW BARBUR BLVD",
            "address_2": "STE 116",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195466",
            "telephone_number": "971-227-7080",
            "fax_number": "503-465-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "MICHAEL",
        "middle_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracelen Terrace Managing Company (Harrison Manor Long-Term Care Facility)
• Saige A. Gracie, CADCI
• Casey Grad Granbois
• Kimberly C Grady, PA-C
• Mary Grady, MSW
• Scott P Grady, MD
• Jordan Michelle Graeme, DC
• Kyla Ruth Graeser, DO
• Adrienne A Graf
• Penni Graf, LMT

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.