Individual
COREY GENE GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18809 WILLAMETTE DR, WEST LINN, OR 97068-1711
(971) 201-5125
Mailing address
18809 WILLAMETTE DR, WEST LINN, OR 97068-1711
(971) 201-5125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R9121
OR
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500830925
—
OR
Enumeration date
02/23/2023
Last updated
08/27/2024
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