Gridworks Lab, Inc.

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

GRIDWORKS LAB, INC.

Practice address

715 SW Morrison St Ste 400
Portland, OR 97205-3123

Phone

(503) 427-9797

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Collin Ross Peterson

Title

Chief Executive Officer

Phone

(503) 427-9797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1982191763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW MORRISON ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053123",
            "telephone_number": "503-427-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW MORRISON ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053123",
            "telephone_number": "503-427-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIDWORKS LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-427-9797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Gribbon
• Rachel Gribby, PT
• Hannah Grice, LAC
• Jeremy Grice, RN
• Brandee Ione Grider, LMT, CPM, LDM
• Meridith Amanda Griebeler, M.D.
• Kristina Renee Griensewic, CMA
• Amanda Grier
• Brad Grier, CADC I
• Gladys Maylene Grier, CADC I

• Transportation Broker in Portland, OR
• Providers in Portland, OR by specialty
• Transportation Broker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.