MARY E GRANT

PORTLAND, OR
NPI1811989379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OR  077037862N3)
Enumeration Date2005-08-19
Last Update Date2021-02-12
Business Address
MARY E GRANT ANP
10140 SW PARKWAY
PORTLAND, OR 97225-5008
Phone number: 503-215-2669
Mailing Address
MARY E GRANT ANP
P.O. BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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