IndividualActive
Jeremy Grey, CRM, PSS-AD
NPI 1891479747 · Substance Abuse Rehabilitation Facility · Vancouver, WA
Provider details
- NPI number
- 1891479747
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- CRM, PSS-AD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3004 Ne 54th St
Vancouver, WA 98663-1948
Phone: (661) 645-3751
Street-level locationGet directions
Mailing address
3004 Ne 54th St
Vancouver, WA 98663-1948
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.