Geri Grubbs, PHD
Individual provider Active NPI Clinical Social Worker · Gaston, OR
NPI 1689427809 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1689427809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LW00004543 (WA)
- Practice address
- 40031 SW Nelson Dr
Gaston, OR 97119-8539 - Phone
- (503) 747-5271
- NPI assigned
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00004543 | WA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00004543 | WA | Yes |
Addresses
Primary practice location
40031 SW Nelson Dr
Gaston, OR 97119-8539
Mailing address
40031 SW Nelson Dr
Gaston, OR 97119-8539
Phone (425) 420-8912
Other providers in Gaston, OR
- Julia Denea Breidenbach
- Tad Willis Buckingham
- Margaret Clemence
- Ashley Dennis
- Kaytlin Kimball
- Aloura Linfesty
- Rose A Noah
- K'Rene Marie Sher
- Sightseeing Mobile Eye Healthcare
All providers in Gaston, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.