Active NPI
Teresa Gryder, N.D.
- Naturopath
- Portland, OR
National Provider Identifier
1982031035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1944
- Practice address
- 5125 SW Macadam Ave
Suite 210
Portland, OR 97239-3820 - Phone
- (503) 684-9698
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1944 | OR | Primary |
Addresses
Primary practice location
5125 SW Macadam Ave
Suite 210
Portland, OR 97239-3820
Mailing address
3830 SW Nevada CT
Portland, OR 97219-1513
Phone (503) 479-5426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1944 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1982031035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 SW NEVADA CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191513",
"telephone_number": "503-479-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 SW MACADAM AVE",
"address_2": "SUITE 210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393820",
"telephone_number": "503-684-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRYDER",
"first_name": "TERESA",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.