Michael James Grimes, PMHNP - Nurse Practitioner in Portland, OR

Michael James Grimes, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Portland, Oregon. Michael James Grimes is licensed to practice in Oregon (license number 202210489NP) and his current practice location is 5263 Ne Martin Luther King Jr Blvd Ste B, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (312) 402-7004.

NPI number for Michael James Grimes is 1689309007 and his current mailing address is 122 Rainbow Dr # 2282, Livingston, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689309007.

Contact Information

Michael James Grimes, PMHNP
5263 Ne Martin Luther King Jr Blvd Ste B,
Portland, OR 97211-3235
(312) 402-7004
Not Available

Map and Direction




Provider's Profile

Full NameMichael James Grimes
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5263 Ne Martin Luther King Jr Blvd Ste B, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689309007
  • Provider Enumeration Date: 07/19/2022
  • Last Update Date: 07/19/2022

Medical Identifiers

Medical identifiers for Michael James Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689309007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 202210489NP (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. Michael James Grimes 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
Michael James Grimes, PMHNP
122 Rainbow Dr # 2282,
Livingston, TX 77399-1022

Ph: (312) 402-7004
Michael James Grimes, PMHNP
5263 Ne Martin Luther King Jr Blvd Ste B,
Portland, OR 97211-3235

Ph: (312) 402-7004

Reviews and Comments


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