James Richard Garrison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

210 Issued in OR

Practice address

12246 NW Kearney St
Portland, OR 97229-4942

Phone

(503) 626-3869

NPI assigned

Jul 2, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1932362662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91418",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972910418",
            "telephone_number": "503-626-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12246 NW KEARNEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294942",
            "telephone_number": "503-626-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrick Duckler, LLC
• Sally Garrido-Spencer, LMT
• Gregory Garrigan
• Henry B Garrison, MD
• Jaden Garrison
• Miller Garrison, PH.D.
• Sara Lynn Garrison, QMHP
• Christine Garrow, NP
• Dana C Garscia, LMT
• Colleen Garside

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.