Individual provider Active NPI

Grant Tyrone Godbey, MD

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1902936594
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD15659 Issued in OR
Practice address
722 NE 162ND Ave
Portland, OR 97230-5760
Phone
(503) 255-4205
Fax
(503) 255-5095
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD15659 OR Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD15659 OR

Addresses

Primary practice location

722 NE 162ND Ave
Portland, OR 97230-5760

Mailing address

30125 SW Old Well Rd
West Linn, OR 97068-9535
Phone (503) 656-3579

Other practice location 1

1750 Blankenship Rd Ste 400
West Linn, OR 97068-5102
Phone (503) 659-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120402000005 OR Practitioner - Psychiatry 9739349556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Options Counseling Services of OregonGroup PAC ID 1658674197, 22 clinicians

Practice addresses (Care Compare)

11010 SE Division St
Suite 202
Portland, OR 97266-6400
Phone (503) 335-5975

1750 Blankenship Rd
Suite 400
West Linn, OR 97068-5102
Phone (503) 659-5515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15659ORMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Psychiatry CurrentSince Jan 12, 2026 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince Jan 12, 2026 Accepting new patients
Options Counseling Services of Oregon CurrentSince Jun 1, 2016 Accepting new patients

Locations

9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005
Phone (503) 626-9494

360 E 10th Ave
Ste 450
Eugene, OR 97401

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975

2645 Portland Rd NE
Ste 120
Salem, OR 97301

1750 Blankenship Rd
Ste 400
West Linn, OR 97068
Phone (503) 659-5515

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1902936594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30125 SW OLD WELL RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970689535",
            "telephone_number": "503-656-3579",
            "fax_number": "503-655-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 NE 162ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305760",
            "telephone_number": "503-255-4205",
            "fax_number": "503-255-5095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Blankenship Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Linn",
            "state": "OR",
            "postal_code": "970685102",
            "country_code": "US",
            "telephone_number": "503-659-5515",
            "fax_number": "503-594-8193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODBEY",
        "first_name": "GRANT",
        "middle_name": "TYRONE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD15659",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD15659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.