Andrew Lynn Tignor-Grile, MINISTRY

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

License

HONORARY Issued in OR

Practice address

777 Stanton Blvd # 10612992
Ontario, OR 97914-8335

Phone

(971) 264-0314

NPI assigned

Mar 15, 2023

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1962103127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18065 SE LAMPER CT",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558301",
            "telephone_number": "971-264-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 STANTON BLVD # 10612992",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979148335",
            "telephone_number": "971-264-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGNOR-GRILE",
        "first_name": "ANDREW",
        "middle_name": "LYNN",
        "credential": "MINISTRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "OR",
            "license": "HONORARY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Religious Nonmedical Practitioner in Ontario, OR
• Providers in Ontario, OR by specialty
• Religious Nonmedical Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.