MICHAEL GRANT

PORTLAND, OR
NPI1841748225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-09-14
Last Update Date2023-02-27
Business Address
MICHAEL GRANT
409 NE 136TH AVE
PORTLAND, OR 97230-2550
Phone number: 503-312-8477
Mailing Address
MICHAEL GRANT
409 NE 136TH AVE
PORTLAND, OR 97230-2550
Phone number: 503-312-8477