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NPI Code Detail

MEDICARE: GRACE ELIZABETH CHENEY MS, QMHP-R, ATR-P

MEDICARE: GRACE ELIZABETH CHENEY MS, QMHP-R, ATR-P
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2221700000XArt TherapistOR

General Provider Information

NPI Number : 1467225185
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ELIZABETH CHENEY MS, QMHP-R, ATR-P
Provider Business Mailing Address
First Line : PO BOX 16040
Second Line :
City : PORTLAND
State : OR
Zip : 97292-0040
Country : US
Telephone Number : 503-535-1150
Fax Number : 503-535-1192
Provider Business Practice Location Address
First Line : 5291 NE ELAM YOUNG PKWY STE 160
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-7560
Country : US
Telephone Number : 314-650-6220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2023
Last Update Date : 07/21/2025

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