Cheryn Lee Grant, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO12074 Issued in OR

Practice address

4550 Kruse Way
Suite 225
Lake Oswego, OR 97035-3594

Phone

(503) 296-6661

Fax

(503) 296-6661

NPI assigned

Jul 27, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053335414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6663 SW BEAVERTON HILLSDALE HWY",
            "address_2": "PMB 291",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251403",
            "telephone_number": "503-296-6661",
            "fax_number": "503-296-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY",
            "address_2": "SUITE 225",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353594",
            "telephone_number": "503-296-6661",
            "fax_number": "503-296-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CHERYN",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "DO12074",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "DO12074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170274",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graced by Faith LLC
• Elizabeth Graff, M.D.
• Natalie Marie Graham, M.S.P.T.
• Tyrel Alan Graham
• William B. Graham, LAC
• Sunya Grantham, LFMT-INTERN
• Stephanie Graupmann
• Bethany Graves
• James Christian Gray, DNP, PMHNP
• Heather Green-Bostwick, L.M.T.

• Psychiatry Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.