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1487412599
MONTGOMERY GRANT BASSOW
PORTLAND, OR
NPI
1487412599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 013472)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
MONTGOMERY GRANT BASSOW
5208 NE 122ND AVE
PORTLAND, OR 97230-1074
Phone number: 503-256-6500
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Mailing Address
MONTGOMERY GRANT BASSOW
5208 NE 122ND AVE
PORTLAND, OR 97230-1074
Phone number:
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