Sally K Gradin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10213 Issued in OR

Practice address

7340 SW Hunziker St
Suite 102
Tigard, OR 97223

Phone

(971) 425-0821

NPI assigned

Jun 11, 2015

Sex

Female

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1124409420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SW PACIFIC HWY STE 58-481",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234804",
            "telephone_number": "971-425-0821",
            "fax_number": "971-223-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 SW HUNZIKER ST",
            "address_2": "SUITE 102",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "971-425-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADIN",
        "first_name": "SALLY",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Gottfried, PT
• Ian McAllister Gould, BSN, RN
• Melanie Jean Gould
• Celeste Goulding
• Kirsten Gower, DPT
• Daniel L Graham, MD
• Kristy Graham, MS, CRC, LPC
• Kennedy Marie Grandi-Smith
• Christina Graslie
• Michal Ruth Graul

• Clinical Social Worker in Tigard, OR
• Providers in Tigard, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.