Individual provider Active NPI

Edward Graden Worsman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1477987386
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201706649NP-PP Issued in OR
Practice address
4224 NE Halsey St Ste 335
Portland, OR 97213-1568
Phone
(503) 922-6616
Fax
(971) 209-7230
NPI assigned
Aug 27, 2013
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60389008 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201706649NP-PP OR Primary

Addresses

Primary practice location

4224 NE Halsey St Ste 335
Portland, OR 97213-1568

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (503) 233-5405

Other practice location 1

7507 NE 51st St
Vancouver, WA 98662-6007
Phone (360) 906-1190

Other practice location 2

707 W 13th St
Clark County Jail
Vancouver, WA 98660-2809
Phone (369) 397-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180827002990 WA Practitioner - Nurse Practitioner 3870842685 Reassigns benefits to 4 organizations
I20181001001391 OR Practitioner - Nurse Practitioner 3870842685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rainier Springs Physician Group LLCGroup PAC ID 0547514549, 7 clinicians

Practice addresses (Care Compare)

12636 SE Stark St Plaza 125 BLDG J
Portland, OR 97233-1058
Phone (503) 253-4600

2805 NE 129TH St
Vancouver, WA 98686-3324
Phone (360) 356-1890

7507 NE 51St St
Vancouver, WA 98662-6007
Phone (360) 906-1190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201706649NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
AP60389008WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 7, 2018 Accepting new patients
Rainier Springs Physician Group, LLC CurrentSince Mar 14, 2024 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jun 5, 2023 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

12636 SE Stark St
Bldg J
Portland, OR 97233
Phone (503) 253-4600

4224 NE Halsey St
Ste 335
Portland, OR 97213
Phone (503) 922-6616

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

2805 NE 129th St
Vancouver, WA 98686
Phone (360) 356-1890

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

7507 NE 51st St
Vancouver, WA 98662
Phone (360) 906-1190

7600 NE 41st St
Ste 200
Vancouver, WA 98662
Phone (360) 512-3856

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.edwardworsman@148835.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1477987386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "503-233-5405",
            "fax_number": "503-233-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 NE HALSEY ST STE 335",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131568",
            "telephone_number": "503-922-6616",
            "fax_number": "971-209-7230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7507 NE 51st St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626007",
            "country_code": "US",
            "telephone_number": "360-906-1190",
            "fax_number": "360-906-1193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 W 13th St",
            "address_2": "Clark County Jail",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986602809",
            "country_code": "US",
            "telephone_number": "369-397-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORSMAN",
        "first_name": "EDWARD",
        "middle_name": "GRADEN",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60389008",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201706649NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.