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1811989379
MARY E GRANT
PORTLAND, OR
NPI
1811989379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 077037862N3)
Enumeration Date
2005-08-19
Last Update Date
2021-02-12
Business Address
MARY E GRANT ANP
10140 SW PARKWAY
PORTLAND, OR 97225-5008
Phone number: 503-215-2669
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Mailing Address
MARY E GRANT ANP
P.O. BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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