Ashland Integrative Care PC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Ashland, OR
NPI 1659429249 · NPPES record last updated Jul 4, 2025
Key facts
- NPI
- 1659429249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 201050218 (OR)
- Legal business name
- ASHLAND INTEGRATIVE CARE PC
- Practice address
- 1745 Ashland St
Ashland, OR 97520-2328 - Phone
- (541) 201-3173
- Fax
- (541) 201-3173
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Joann Ellen Gruber, NP
- Title
- President
- Phone
- (541) 201-3173
Practitioners 9
-
Joann Gruber, NP
-
Stephen John Bender, D.C.
-
Mary Elizabeth Burton, FNP NURSE PRACTITION
-
Deborah Lee Gordon, M.D.
-
Lauren Elizabeth Gruber, DNP, FNP-C
-
Cecelia Rose Howard, PMHNP
-
Robin L. Rose, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150702001131 | OR | Part B Supplier - Clinic/Group Practice | 8022320159 |
Receives reassigned benefits from 1 practitioner Practice locations: Ashland, OR |
National Provider Directory
Locations
134 E Main St
Dundee, FL 33838
Phone (866) 481-1814
1920 Palm Beach Lakes Blvd
Ste 206
West Palm Beach, FL 33409
Phone (561) 207-7702
850 Siskiyou Blvd
Ste 1
Ashland, OR 97520
Phone (541) 201-3173
1745 Ashland St
Ashland, OR 97520
Phone (541) 201-3173
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 201050217 | OR | |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 201050218 | OR | Yes |
Addresses
Primary practice location
1745 Ashland St
Ashland, OR 97520-2328
Mailing address
PO Box 1300
Ashland, OR 97520-0058
Phone (541) 201-3173
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500685278 | Medicaid | OR |
Other providers in Ashland, OR
- Ashland Family Practice
- Ashland Family Practice LLC
- Ashland Gastroenterology, LLC
- Ashland Holistic Counseling
- Ashland Institute of Massage Inc
- Ashland Myofascial Release, LLC
- Ashland Optometric Clinic PC
- Ashland Orthopedic Associates
- Ashland Osteopathic Services, P.C.
- Ashland Pediatrics, PC
All providers in Ashland, OR · Psychiatric/Mental Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.