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1902936594
GRANT TYRONE GODBEY
PORTLAND, OR
NPI
1902936594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: OR MD15659)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Dr. GRANT TYRONE GODBEY MD
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-255-4205
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Mailing Address
Dr. GRANT TYRONE GODBEY MD
30125 SW OLD WELL RD
WEST LINN, OR 97068-9535
Phone number: 503-656-3579
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