Provider Demographics
NPI:1427930007
Name:GRIDER, ASHLEE MITCHELL (RN, BSN)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:MITCHELL
Last Name:GRIDER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:RASHELLE
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14082 SW 121ST AVE
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-2817
Mailing Address - Country:US
Mailing Address - Phone:503-307-5792
Mailing Address - Fax:
Practice Address - Street 1:10180 SE SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8970
Practice Address - Country:US
Practice Address - Phone:503-571-4694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201906557RN163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine