Individual provider Active NPI

Murlan E Grise, DO

  • Family Medicine Physician
  • Gresham, OR
National Provider Identifier
1811951148
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO13497 Issued in OR
Practice address
831 NW Council Dr Ste 125
Gresham, OR 97030-3794
Phone
(503) 665-8176
Fax
(503) 665-8178
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO13497 OR Primary

Addresses

Primary practice location

831 NW Council Dr Ste 125
Gresham, OR 97030-3794

Mailing address

831 NW Council Dr Ste 125
Gresham, OR 97030-3794
Phone (503) 665-8176

Other identifiers 1

IdentifierTypeStateIssuer
290957MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100812000042 OR Practitioner - Family PracticePractitioner - General Practice 2365576428 Reassigns benefits to 1 organization
I20230703002500 UT Practitioner - Family Practice 2365576428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corner Clinic St George LLCGroup PAC ID 6406241835, 8 clinicians
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

2351 S River Rd
Suite 5
St George, UT 84790-8749
Phone (435) 709-8786

831 NW Council Dr
Suite 125
Gresham, OR 97030-3794
Phone (503) 665-8176

Hospital & facility affiliations

  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Corner Clinic St George LLC Family Medicine CurrentSince Jun 5, 2023 Accepting new patients
Portland Adventist Medical Center Family Medicine CurrentSince Jan 29, 2023 Accepting new patients
Enoch Community Healthcare Family Medicine Past Accepting new patients
Corner Clinic Snow Canyon LLC Family Medicine PastSince Jun 5, 2023 Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

831 NW Council Dr
Ste 125
Gresham, OR 97030
Phone (503) 661-3439

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

380 E Main St
Fl 2ND
Midway, UT 84049

2351 S River Rd
Ste 5
St George, UT 84790
Phone (435) 659-7352

Interoperability endpoints

  • Direct secure messaging: murlan.grise.1@16501.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1811951148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 NW COUNCIL DR STE 125",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303794",
            "telephone_number": "503-665-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 NW COUNCIL DR STE 125",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303794",
            "telephone_number": "503-665-8176",
            "fax_number": "503-665-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISE",
        "first_name": "MURLAN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO13497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290957",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.