MICHAEL THOMAS GRANATO

PORTLAND, OR
NPI1851708606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA194278)
Enumeration Date2014-07-14
Last Update Date2019-11-12
Business Address
MICHAEL THOMAS GRANATO PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Phone number: 503-494-8311
Mailing Address
MICHAEL THOMAS GRANATO PA-C
5308 213TH ST
BAYSIDE HILLS, NY 11364-1824
Phone number: 917-597-9066
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