RYAN GLEN GRISSOM

PORTLAND, OR
NPI1730898404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-11-21
Last Update Date2022-11-21
Business Address
RYAN GLEN GRISSOM
12511 SE RAYMOND ST
PORTLAND, OR 97236-3931
Phone number: 503-761-2580
Mailing Address
RYAN GLEN GRISSOM
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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