DENIESE ELAINE JENSEN GRANVILLE

LAKE OSWEGO, OR
NPI1134291438
Professional NameDENIESE E GRANVILLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: OR  DP00223)
Enumeration Date2006-11-14
Last Update Date2020-04-22
Business Address
DENIESE ELAINE JENSEN GRANVILLE DPM
55 S STATE ST STE 3220
LAKE OSWEGO, OR 97034-3975
Phone number: 503-635-7742
Mailing Address
DENIESE ELAINE JENSEN GRANVILLE DPM
55 S STATE ST STE 3220
LAKE OSWEGO, OR 97034-3975
Phone number: 503-635-7742
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