MEDICARE: ALINA GRIMSTED LCSW

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	1041C0700X	Clinical Social Worker	L11786	OR

General Provider Information

NPI Number	:	1669096509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA GRIMSTED LCSW

Provider Business Mailing Address
First Line	:	1949 SE PALMQUIST RD UNIT 47
Second Line	:
City	:	GRESHAM
State	:	OR
Zip	:	97080-6283
Country	:	US
Telephone Number	:	503-804-7549
Fax Number	:	503-715-4943

Provider Business Practice Location Address
First Line	:	19265 SE STARK ST STE B
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97233-5758
Country	:	US
Telephone Number	:	503-755-8988
Fax Number	:	503-715-4943

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2020
Last Update Date	:	03/05/2025

Similar Medicare Providers

1811995632 — SLEEP DENTISTRY OF PORTLAND
Practice Location Address:

19265 SE STARK ST , SUITE A
PORTLAND, OR
97233-5758

Practice Phone: 503-666-9519
Practice Fax: 503-666-1147

1265557789 — SLEEP DENTISTRY OF PORTLAND LLC
Practice Location Address:

19265 SE STARK ST , SUITE A
PORTLAND, OR
97233-5758

Practice Phone: 503-666-9519
Practice Fax:

1275773038 — DR. FLOYD KASCH DMD
Practice Location Address:

19265 SE STARK ST , SUITE A
PORTLAND, OR
97233-5758

Practice Phone: 503-666-9519
Practice Fax: 503-666-1147

1720771355 — POSCIMUR LLC
Practice Location Address:

19265 SE STARK ST STE B
PORTLAND, OR
97233-5758

Practice Phone: 503-755-8988
Practice Fax: 503-715-4943

1225026123 — PARKROSE FAMILY DENTAL
Practice Location Address:

7346 NE SANDY BLVD , SUITE A
PORTLAND, OR
97213-5758

Practice Phone: 503-287-7899
Practice Fax: 503-287-7933

1538601067 — ELISE MEE LING RUIZ-HOM
Practice Location Address:

11700 SW BUTNER RD APT 206
PORTLAND, OR
97225-5758

Practice Phone: 808-227-3488
Practice Fax:

Directions to “ ALINA GRIMSTED LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.