Active NPI
Edward Graden Worsman, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201706649NP-PP
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201706649NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP60389008 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Rainier Springs Physician Group, LLC | Current | Accepting new patients | |
| Mindful Therapy Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Western Psychological and Counseling Services LLC | Current | 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
- 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.
-
- Neurology Physician
- Vancouver, WA
- NPI 1306321237
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
OR
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Psychiatric/Mental Health
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.