Dr. Nicholas Madden Grasvik, D.M.D.
Dentist in Milwaukie, OR. Individual provider (NPI-1).
NPI number1225220122
StatusActive
Last updated in NPPESAug 14, 2007
Details
- NPI
- 1225220122
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas Madden Grasvik
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2007
- Last updated
- Aug 14, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 8986 | OR | Yes |
Practice location
16230 Se McLoughlin BlvdMilwaukie, OR 97267-4657
Phone 503-654-9565 · Fax 503-654-0472
Mailing address
16230 Se McLoughlin BlvdMilwaukie, OR 97267-4657
Phone 503-654-9565 · Fax 503-654-0472
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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