Active NPI
Evangeline Bruyere Grace, BA IN PSYCHOLOGY
- Case Manager/Care Coordinator
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1027 E Burnside St
Portland, OR 97214-1328 - Phone
- (503) 239-8400
- Fax
- (503) 239-8406
- NPI assigned
- Oct 27, 2020
- Last updated
- Apr 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1027 E Burnside St
Portland, OR 97214-1328
Mailing address
1027 E Burnside St
Portland, OR 97214-1328
Phone (503) 239-8400
Other practice location 1
10822 SE 82nd Ave
Happy Valley, OR 97086-7658
Phone (971) 369-5662
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
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Healthcare Inc | Current | Accepting new patients | |
| Curry Community Health | Case Manager/Care Coordinator | Current | Accepting new patients |
| Coda, Inc. | Case Manager/Care Coordinator | Past | Accepting new patients |
| Coda, Inc. | Past | Accepting new patients |
Locations
615 5th St
Brookings, OR 97415
Phone (541) 469-3113
Organizations & group practices 4
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.
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Case Manager/Care Coordinator
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- Substance Use Disorder Rehabilitation Clinic/Center
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- NPI 1750912184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1518567718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141328",
"telephone_number": "503-239-8400",
"fax_number": "503-239-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141328",
"telephone_number": "503-239-8400",
"fax_number": "503-239-8406"
}
],
"practiceLocations": [
{
"address_1": "10822 SE 82nd Ave",
"address_purpose": "LOCATION",
"city": "Happy Valley",
"state": "OR",
"postal_code": "970867658",
"country_code": "US",
"telephone_number": "971-369-5662",
"fax_number": "503-654-0392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRACE",
"first_name": "EVANGELINE",
"middle_name": "BRUYERE",
"name_prefix": "Ms.",
"credential": "BA IN PSYCHOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.