IndividualActive
Diana Grum, MSSA, LCSW
NPI 1063841625 · Clinical Social Worker · Gladstone, OR
Provider details
- NPI number
- 1063841625
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSSA, LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 112446 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
870 82nd Dr
Gladstone, OR 97027-1803
Phone: (503) 659-5515
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 82819
Portland, OR 97282-0819
Registry dates
- Enumerated
- 2013-11-04
- Last updated
- 2024-03-23
- Certified
- 2024-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.