Grow Defined Therapy LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

GROW DEFINED THERAPY LLC

Practice address

5305 River Rd N Ste B
Keizer, OR 97303-5324

Phone

(360) 320-6099

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. River Grow, MSNPI 1871242131

Title

Owner/Provider

Phone

(360) 320-6099

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• River Miah Grow

  • Marriage & Family Therapist
  • Keizer, OR
  • NPI 1871242131
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1740980085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 SW GEMINI DR",
            "address_2": "PMB 28613",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 RIVER RD N STE B",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035324",
            "telephone_number": "360-320-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW DEFINED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "GROW",
        "authorized_official_first_name": "RIVER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "360-320-6099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500810951",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500814140",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cory J Green, CST/CFA
• Gregory J. Albright DC PC
• Alyssa Jordan Grimes
• Ralph William Grobman, D.C.
• Mary Grosso, LMT
• River Miah Grow
• Kori Guntly, LMT
• Daniel Hagins
• Carolyn I Hale, MD
• Jesse Ray Hall, MS, RDN, CD

• Marriage & Family Therapist in Keizer, OR
• Providers in Keizer, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.