IndividualActive
Calvin Griggs
NPI 1447641394 · Mental Illness Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1447641394
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 320800000X (OR)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 320800000X (OR)
Residential Treatment Facilities
Practice location
142 Se 160th Ave Apt 24
Portland, OR 97233-3558
Phone: (503) 841-4393
Approximate (ZIP-level) locationGet directions
Mailing address
142 Se 160th Ave Apt 24
Portland, OR 97233-3558
Registry dates
- Enumerated
- 2015-02-13
- Last updated
- 2015-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.