Polly Gravely, MS, LPC - Counselor in Portland, OR

Polly Gravely, MS, LPC is a Counselor - Mental Health based in Portland, Oregon. Polly Gravely is licensed to practice in Oregon (license number C4602) and her current practice location is 5319 Sw Westgate Dr Ste 246, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 388-5710.

NPI number for Polly Gravely is 1386003168 and her current mailing address is 4028 Sw 53rd Pl, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386003168.

Contact Information

Polly Gravely, MS, LPC
5319 Sw Westgate Dr Ste 246,
Portland, OR 97221-2434
(503) 388-5710
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePolly Gravely
GenderFemale
SpecialityCounselor - Mental Health
Location5319 Sw Westgate Dr Ste 246, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386003168
  • Provider Enumeration Date: 02/22/2016
  • Last Update Date: 06/08/2021

Medical Identifiers

Medical identifiers for Polly Gravely such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386003168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health C4602 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Polly Gravely is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Polly Gravely, MS, LPC
4028 Sw 53rd Pl,
Portland, OR 97221-2015

Ph: (503) 310-7472
Polly Gravely, MS, LPC
5319 Sw Westgate Dr Ste 246,
Portland, OR 97221-2434

Ph: (503) 388-5710

Reviews and Comments


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