Angela Eastman Grissom, MS, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12136518 Issued in OR

Practice address

441 N Werth Blvd
Newberg, OR 97132-7500

Phone

(503) 538-9436

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1336043967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 NE HERRING LN",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327450",
            "telephone_number": "510-731-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N WERTH BLVD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327500",
            "telephone_number": "503-538-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSOM",
        "first_name": "ANGELA",
        "middle_name": "EASTMAN",
        "credential": "MS, SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12136518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Ann Green, PSY.D.
• Lindsey Greenfield
• Keith Henry Griffin, MD
• Karen Claudette Griffis, FNP
• Roshana Dee Grile, STUDENT INTERN
• Gso Equipment Corp (The Oregon Clinic Endoscopy Center - Newberg)
• Jaecelle Guadiz Galeniece, MD
• Fawn Merry Guenther, LMT
• Shejuti Guha, M.D.
• Sean Gustin, DPT

• Speech-Language Pathologist in Newberg, OR
• Providers in Newberg, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.