Active NPI
Murlan E Grise, DO
- Family Medicine Physician
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO13497
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290957 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- St. George Regional Hospital
- Ohsu Hospital and Clinics
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Corner Clinic St George LLC | Family Medicine | Current | Accepting new patients |
| Portland Adventist Medical Center | Family Medicine | Current | Accepting new patients |
| Enoch Community Healthcare | Family Medicine | Past | Accepting new patients |
| Corner Clinic Snow Canyon LLC | Family Medicine | Past | 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
- 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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1750091021
-
- Family Medicine Physician
- St George, UT
- NPI 1629568209
-
- Anesthesiology Physician
- Portland, OR
- NPI 1437925310
-
- Family Medicine Physician
- St George, UT
- NPI 1952041048
-
- Family Medicine Physician
- Enoch, UT
- NPI 1659945343
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.