Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Andre D Grisham, MD

Surgery Physician in Tigard, OR · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629042122

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Registry record

Entity type Individual (Type 1)

Name Andre D Grisham

Credential MD

Sex Male

Practice address 9250 Sw Hall Blvd, Tigard, OR, 97223

Phone (503) 221-0161

Enumeration date Feb 14, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 29462 (SC) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 38146 (TN) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License MD151172 (OR) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
3895467	Medicaid	TN	-
4214668	Other	TN	BCBS TN
04951725	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Andre Grisham?

Andre Grisham is registered in NPPES with the primary taxonomy of Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Michael Chen Family Medicine Physician · Tigard, OR NPI 1023005410 Sheeten Doshi Gastroenterology Physician · Tigard, OR NPI 1154307478 Darice Zabak Family Medicine Physician · Tigard, OR NPI 1275510950 Chris Hyun Gastroenterology Physician · Tigard, OR NPI 1447230594 Makindra Fitton Physical Therapist · Tigard, OR NPI 1679548465 Robert Sandmeier Specialist · Tigard, OR NPI 1992751507 Marsha Owen Audiologist · Tigard, OR NPI 1982632782 David Wagner Family Medicine Physician · Tigard, OR NPI 1265449193

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.