Individual provider Active NPI

Grier Cundill, MA, NCACII, CADCIII

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1174868731
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
94-10-83 Issued in OR
Practice address
811 NW 20TH Ave Ste 103
Portland, OR 97209-1445
Phone
(503) 630-4703
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 94-10-83 OR Primary

Addresses

Primary practice location

811 NW 20TH Ave Ste 103
Portland, OR 97209-1445

Mailing address

PO Box 1103
Estacada, OR 97023-1103
Phone (503) 630-4703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1174868731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1103",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970231103",
            "telephone_number": "503-630-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NW 20TH AVE STE 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091445",
            "telephone_number": "503-630-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDILL",
        "first_name": "GRIER",
        "name_prefix": "Mr.",
        "credential": "MA, NCACII, CADCIII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "94-10-83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.