MONTGOMERY GRANT BASSOW

PORTLAND, OR
NPI1487412599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  013472)
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
MONTGOMERY GRANT BASSOW
5208 NE 122ND AVE
PORTLAND, OR 97230-1074
Phone number: 503-256-6500
Mailing Address
MONTGOMERY GRANT BASSOW
5208 NE 122ND AVE
PORTLAND, OR 97230-1074
Phone number:
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